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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
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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