Individual
VICTOR HUGO OLIVOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPHTHALMIC DISPENSER
Contact information
Practice address
7508 37TH AVE, JACKSON HEIGHTS, NY 11372-6538
(718) 476-1458
(718) 476-1462
Mailing address
7508 37TH AVE, JACKSON HEIGHTS, NY 11372-6538
(718) 476-1458
(718) 476-1462
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
C003703-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00335882
—
NY
Enumeration date
01/23/2007
Last updated
03/04/2009
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