Organization
OMEGA OPTICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. OLGA SHIMANOVA (OPTICIAN)
(718) 897-5101
Entity
Organization
Contact information
Practice address
9102 63RD DR, REGO PARK, NY 11374-3850
(718) 897-5101
Mailing address
9102 63RD DR, REGO PARK, NY 11374-3850
(718) 897-5101
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
7240-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02181684
—
NY
01
—
14913
SPECTERA
NY
01
—
46613
AVESIS
NY
01
—
NY7240
EYE MED VISION CARE
NY
01
—
P3693521
OXFORD
NY
Enumeration date
05/02/2007
Last updated
12/21/2011
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