Organization
EYES ON BROADWAY I, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANITA OHRIKER OPTICIAN (MANAGER)
(212) 614-0069
Entity
Organization
Contact information
Practice address
680 BROADWAY, NEW YORK, NY 10012-2322
(212) 614-0069
(212) 614-9407
Mailing address
680 BROADWAY, NEW YORK, NY 10012-2322
(212) 614-0069
(212) 614-9407
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
12/08/2020
Last updated
12/08/2020
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