Organization
MK VISION CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KALEENA MA (OWNER)
(718) 575-8288
Entity
Organization
Contact information
Practice address
10729 71ST AVE, FOREST HILLS, NY 11375-4724
(718) 575-8288
Mailing address
10729 71ST AVE, FOREST HILLS, NY 11375-4724
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03279398
—
NY
Enumeration date
06/05/2014
Last updated
06/06/2014
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