Organization
DM OPTICAL INC
Active
Other names
9 street optical
Organization subpart
No
Provider details
NPI number
Authorized official
MAKSIM GRINBERG (OWNER)
(718) 965-2545
Entity
Organization
Contact information
Practice address
332 9TH ST, BROOKLYN, NY 11215-4058
(718) 965-2545
(718) 965-2545
Mailing address
332 9TH ST, BROOKLYN, NY 11215-4058
(718) 965-2545
(718) 965-2545
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02705273
—
NY
Enumeration date
12/19/2006
Last updated
04/14/2008
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