Organization
J OPTICS STORE INC
Active
Other names
J optical
Organization subpart
No
Provider details
NPI number
Authorized official
LEONID YUSUPOV OPT (LICENSED OPTICIAN)
(718) 534-4651
Entity
Organization
Contact information
Practice address
1321 AVENUE J, BROOKLYN, NY 11230-3605
(718) 534-4651
(718) 534-4654
Mailing address
1321 AVENUE J, BROOKLYN, NY 11230-3605
(718) 534-4651
(718) 534-4654
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
009424
NY
Other
Enumeration date
05/12/2015
Last updated
05/12/2015
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