Organization
COOP CITY EYE CARE INC
Active
Other names
NATIONAL EYECARE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD BANGIYEV OPTHALMIC DISPENSER (OPTICIAN/OWNER)
(718) 320-0551
Entity
Organization
Contact information
Practice address
691 CO OP CITY BLVD, BRONX, NY 10475-1673
(718) 320-0551
(347) 843-0430
Mailing address
691 CO OP CITY BLVD, BRONX, NY 10475-1673
(718) 320-0551
(347) 843-0430
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV007786
NY
152WC0802X
Corneal and Contact Management Optometrist
TUV007786
NY
156FX1800X
Optician
008630
NY
Other
Enumeration date
01/15/2014
Last updated
09/23/2015
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