Organization
MODERN VISION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN GIVNER (PRESIDENT)
(718) 336-1060
Entity
Organization
Contact information
Practice address
453 KINGS HWY, BROOKLYN, NY 11223-1847
(718) 336-1060
Mailing address
453 KINGS HWY, BROOKLYN, NY 11223-1847
(718) 336-1060
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV004505-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00936425
—
NY
Enumeration date
05/05/2010
Last updated
05/05/2010
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