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Organization

OPTICAL ACADEMY ADVANCED MD GROUP LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ABEER AYOUB (CFO)
(800) 530-2730
Entity
Organization

Contact information

Practice address
115 W 45TH ST, -SUITE 504, NEW YORK, NY 10036-4005
(800) 530-2730
(631) 206-9193
Mailing address
115 W 45TH ST, -SUITE 504, NEW YORK, NY 10036-4005
(800) 530-2730
(631) 206-9193

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary

Other

Enumeration date
07/18/2013
Last updated
06/20/2018
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