Organization
LENS LAB OPTICAL 181 INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA MORENO (OWNER)
(212) 795-5640
Entity
Organization
Contact information
Practice address
4250 BROADWAY, NEW YORK, NY 10033-3748
(212) 795-5640
(212) 927-6210
Mailing address
4250 BROADWAY, NEW YORK, NY 10033-3748
(212) 795-5640
(212) 927-6210
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
04/26/2022
Last updated
04/26/2022
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