Organization
KINGS AND QUEENS OPTOMETRY P.C.
Active
Other names
Empire Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN LEWIS OD (OWNER)
(347) 632-2610
Entity
Organization
Contact information
Practice address
2610 FREDERICK DOUGLASS BLVD, NEW YORK, NY 10030-1704
(347) 632-2610
(347) 632-2611
Mailing address
3205 NEWTOWN AVE APT 5D, ASTORIA, NY 11102-1330
(607) 425-5427
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04604546
—
NY
Enumeration date
12/05/2022
Last updated
12/05/2022
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