Organization
ISLAND EYE OPTICAL CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL NEJAT MD (OWNER)
(718) 984-7616
Entity
Organization
Contact information
Practice address
1500 VICTORY BOULEVARD, STATEN ISLAND, NY 10301
(718) 984-7616
(718) 984-8584
Mailing address
4299 HYLAN BLVD, STATEN ISLAND, NY 10312-6527
(718) 984-7616
(718) 984-8584
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV0017979-1
NY
156FX1800X
Optician
004733-1
NY
Other
Enumeration date
12/26/2014
Last updated
12/26/2014
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