Organization
FABULOUS OPTICAL USA CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARINA PRESMAN OD (OWNER)
(347) 249-3605
Entity
Organization
Contact information
Practice address
14620 JAMAICA AVE, JAMAICA, NY 11435-3628
(718) 355-8636
Mailing address
14620 JAMAICA AVE, JAMAICA, NY 11435-3628
(718) 355-8636
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
02/06/2020
Last updated
02/06/2020
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