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Organization

REAL OPTICAL, LLC

Active
Other names
Cohen's Fashion Optical #6
Organization subpart
No

Provider details

NPI number
Authorized official
LAURA VALENTIN (CREDENTIALING SPECIALIST)
(212) 792-8149
Entity
Organization

Contact information

Practice address
9015 QUEENS BLVD, QUEENS CENTER MALL, ELMHURST, NY 11373-4900
(718) 592-5200
(718) 592-7902
Mailing address
520 8TH AVE, 9TH FL, NEW YORK, NY 10018-6507
(212) 792-8149
(646) 448-3327

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary

Other

Enumeration date
03/21/2013
Last updated
04/22/2014
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