Organization
OPHTHALMIC LAB SOLUTIONS, LLC
Active
Other names
AJ Elliot Opticians
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELLIOT R ROTH O.D. (OPTOMETRIST)
(516) 849-8710
Entity
Organization
Contact information
Practice address
5902 CATALPA AVE, RIDGEWOOD, NY 11385-4461
(718) 821-1112
Mailing address
5902 CATALPA AVE, RIDGEWOOD, NY 11385-4461
(718) 821-1112
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
VUT005485
NY
Other
Enumeration date
12/15/2011
Last updated
12/15/2011
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