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Organization

J& J PREMIUM EYE CARE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JAMES S ORR OPTICIAN (CEO)
(516) 442-1570
Entity
Organization

Contact information

Practice address
1304 GRAND AVE, NORTH BALDWIN, NY 11510-1418
(516) 442-1570
(516) 442-1573
Mailing address
1304 GRAND AVE, NORTH BALDWIN, NY 11510-1418
(516) 442-1570
(516) 442-1573

Taxonomy

Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03258775
NY
01
55 009105
OPTICIAN
NY
Enumeration date
05/23/2010
Last updated
09/07/2012
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