Organization
EYES ON BROADWAY
Active
Organization
EYES ON BROADWAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANITA OHRIKER OPTICIAN (MANAGER)
(212) 614-0069
Entity
Organization
Contact information
Practice address
651 BROADWAY, NEW YORK, NY 10012-2302
(212) 614-0069
(212) 614-9407
Mailing address
651 BROADWAY, NEW YORK, NY 10012-2302
(212) 614-0069
(212) 614-9407
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
8073-01
NY
Other
Enumeration date
01/31/2013
Last updated
01/31/2013
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