Organization
MY LENS DR INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX VAYSBAUM (SHAREHOLDER)
(917) 696-0601
Entity
Organization
Contact information
Practice address
3009 CHURCH AVE, BROOKLYN, NY 11226-4209
(718) 814-2020
Mailing address
3009 CHURCH AVE, BROOKLYN, NY 11226-4209
(718) 814-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
05/26/2023
Last updated
05/26/2023
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