Individual
MR. JOSE L OLIVOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
11615 JAMAICA AVE, RICHMOND HILL, NY 11418-2433
(718) 847-9898
(718) 847-9345
Mailing address
11615 JAMAICA AVE, RICHMOND HILL, NY 11418-2433
(718) 847-9898
(718) 847-9345
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
6871
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02687929
—
NY
Enumeration date
05/15/2008
Last updated
05/15/2008
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