Organization
GRAND SPECTACLE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES DIDONATO OPTICIAN (OPTICIAN)
(718) 424-1924
Entity
Organization
Contact information
Practice address
6660 GRAND AVE, MASPETH, NY 11378-2531
(718) 424-1924
(718) 424-0992
Mailing address
6660 GRAND AVE, MASPETH, NY 11378-2531
(718) 424-1924
(718) 424-0992
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
NY3969
NY
Other
Enumeration date
02/03/2007
Last updated
08/22/2020
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