Organization
MAZ OPTICAL, INC
Active
Other names
MAZ Optical
Organization subpart
No
Provider details
NPI number
Authorized official
MARILYN ANNE PEPPERS LDO (PRESIDENT)
(631) 447-1300
Entity
Organization
Contact information
Practice address
655 MONTAUK HWY, SUITE 29, EAST PATCHOGUE, NY 11772-4733
(631) 447-1300
(631) 447-1302
Mailing address
655 MONTAUK HWY, SUITE 29, EAST PATCHOGUE, NY 11772-4733
(631) 447-1300
(631) 447-1302
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
NY
Other
Enumeration date
03/12/2014
Last updated
03/12/2014
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