Organization
EDDIE LI OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDDIE LI OD (OWNER)
(848) 565-8904
Entity
Organization
Contact information
Practice address
7525 153RD ST, #147, FLUSHING, NY 11367-3090
(848) 565-8904
Mailing address
7525 153RD ST, #147, FLUSHING, NY 11367-3090
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
007896
NY
Other
Enumeration date
10/16/2012
Last updated
10/16/2012
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