Organization
MK EYECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KALEENA MA (OPTICIAN)
(715) 575-8288
Entity
Organization
Contact information
Practice address
139 CENTRE ST, NEW YORK, NY 10013-4552
(212) 219-2219
Mailing address
7010 AUSTIN ST, FOREST HILLS, NY 11375-1021
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03279398
—
NY
Enumeration date
08/12/2020
Last updated
08/12/2020
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