Organization
JYM VISION CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE MENDEZ (MANAGER)
(347) 670-0760
Entity
Organization
Contact information
Practice address
451 NORTHFIELD AVE, STATEN ISLAND, NY 10303
(917) 771-9899
Mailing address
294 COLONY AVE, STATEN ISLAND, NY 10306-5949
(917) 771-9899
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
08/16/2021
Last updated
09/07/2021
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