Organization
COOREY STORES INC
Active
Organization
COOREY STORES INC
Active
Other names
Optical Warehouse Outlet
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES FIELDS OD (MANGER)
(718) 523-5150
Entity
Organization
Contact information
Practice address
8915 165TH ST, JAMAICA, NY 11432-5153
(718) 523-5150
(718) 523-5212
Mailing address
8915 165TH ST, JAMAICA, NY 11432-5153
(718) 523-5150
(718) 523-5212
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
02145-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01857689
—
NY
Enumeration date
08/28/2009
Last updated
08/28/2009
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