Organization
EYEVISTA OPTOMETRY OF 86, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE WAI KIT CHAN OD (OWNER)
(718) 256-2020
Entity
Organization
Contact information
Practice address
1883 86TH ST, BROOKLYN, NY 11214-3108
(718) 256-2020
(718) 256-2027
Mailing address
1883 86TH ST, BROOKLYN, NY 11214-3108
(718) 256-2020
(718) 256-2027
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV007407-1
NY
Other
Enumeration date
05/06/2013
Last updated
04/10/2019
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