Organization
OCEAN PARK OPTICAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANE KUTSOWSKY O.D. (PRESIDENT)
(718) 471-5310
Entity
Organization
Contact information
Practice address
1727 SEAGIRT BLVD, SUITE 100, FAR ROCKAWAY, NY 11691-4513
(718) 471-5310
(718) 471-0840
Mailing address
1727 SEAGIRT BLVD, SUITE 100, FAR ROCKAWAY, NY 11691-4513
(718) 471-5310
(718) 471-0840
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T006545
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02905493
—
NY
Enumeration date
06/07/2007
Last updated
06/03/2008
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