Organization
AMERICAN EYE CARE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK RICHARD STADLEN OD (PRESIDENT OPTOMETRIST)
(718) 956-3000
Entity
Organization
Contact information
Practice address
38 03 BROADWAY, ASTORIA, NY 11103-4058
(718) 956-3000
(718) 204-0227
Mailing address
38 03 BROADWAY, ASTORIA, NY 11103-4058
(718) 956-3000
(718) 204-0227
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00695345
—
NY
Enumeration date
11/06/2006
Last updated
10/09/2008
Update your record
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