Organization
EYE CARE OPTICAL OF NY INC
Active
Other names
Eye Care Optical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VLADIMIR NESTERENKO (OWNER)
(347) 601-8395
Entity
Organization
Contact information
Practice address
5731 MYRTLE AVE, RIDGEWOOD, NY 11385-4933
(347) 601-8395
Mailing address
5731 MYRTLE AVE, RIDGEWOOD, NY 11385-4933
(347) 601-8395
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T002406
NY
Other
Enumeration date
09/14/2011
Last updated
09/14/2011
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