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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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