Organization
GRAND SPECTACLE INC. OPTICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES A DIDONATO (OPTICIAN)
(718) 424-1924
Entity
Organization
Contact information
Practice address
6660 GRAND AVE, MASPETH, NY 11378-2531
(718) 424-1924
(718) 424-7247
Mailing address
6660 GRAND AVE, MASPETH, NY 11378-2531
(718) 424-1924
(718) 424-7247
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
003969
NY
Other
Enumeration date
03/27/2008
Last updated
03/27/2008
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