Organization
MY OPTICIAN NYC CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARAT SHLIMOV (OPTICIAN)
(212) 693-1111
Entity
Organization
Contact information
Practice address
5227 BROADWAY, BRONX, NY 10463-7636
(212) 693-1111
(212) 693-1114
Mailing address
5227 BROADWAY, BRONX, NY 10463
(212) 693-1111
(212) 693-1114
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
007320
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02622966
—
NY
Enumeration date
02/20/2007
Last updated
10/25/2013
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