Organization
PURE EYECARE OPTOMETRY P.C.
Active
Other names
Pure Eyecare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROMAN KAKZANOV OD (DOCTOR OF OPTOMETRY)
(917) 476-7757
Entity
Organization
Contact information
Practice address
10537 65TH AVE APT 4D, FOREST HILLS, NY 11375-1818
(917) 476-7757
Mailing address
10537 65TH AVE APT 4D, FOREST HILLS, NY 11375-1818
(917) 476-7757
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
10/29/2019
Last updated
10/29/2019
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