Organization
OPTIQUE ELEGANCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHYLLIS BUDNITZ OPTICIAN (CEO)
(718) 421-0075
Entity
Organization
Contact information
Practice address
3410 AVENUE N, BROOKLYN, NY 11234-2607
(718) 421-0075
(718) 421-3839
Mailing address
3410 AVENUE N, BROOKLYN, NY 11234-2607
(718) 421-0075
(718) 421-3839
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
4931
NY
Other
Enumeration date
05/04/2007
Last updated
08/22/2020
About Stedi
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