Organization
JIREH EYE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRMA L LOPEZ OD (OD/OWNER)
(917) 607-2682
Entity
Organization
Contact information
Practice address
11110 LIBERTY AVE, SOUTH RICHMOND HILL, NY 11419-1898
(718) 641-3450
(718) 641-3792
Mailing address
7914 149TH AVE, HOWARD BEACH, NY 11414-1124
(917) 607-2682
(718) 641-3792
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02602862
—
NY
Enumeration date
01/19/2023
Last updated
01/29/2023
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