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Organization

BAYSHORE VISION EXPRESS, LLC

Active
Other names
Cohen's Fashion Optical
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LEONID VAYNER (MGR)
(631) 665-4700
Entity
Organization

Contact information

Practice address
1701 SUNRISE HWY, BAY SHORE, NY 11706-6091
(631) 665-4700
(631) 665-4702
Mailing address
1701 SUNRISE HWY, BAY SHORE, NY 11706-6091
(631) 665-4700
(631) 665-4702

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
TUV005243-1
NY

Other

Enumeration date
11/18/2015
Last updated
11/18/2015
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