Organization
BH OPTICAL OF QUEENS, INC.
Active
Other names
Quality & Fashion Optical
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT USTAYEV OPT (PRESIDENT)
(718) 391-0003
Entity
Organization
Contact information
Practice address
4309 GREENPOINT AVENUE, SUNNYSIDE, NY 11104-3004
(718) 391-0003
(718) 391-0003
Mailing address
4309 GREENPOINT AVENUE, SUNNYSIDE, NY 11104-2605
(718) 391-0003
(718) 391-0003
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T-003792
NY
156FX1800X
Optician
008747-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02936698
—
NY
Enumeration date
02/09/2008
Last updated
03/07/2011
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