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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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