Organization
DANET OPTICAL LTD
Active
Other names
American Vision of Bayside
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD A TERAN (PRESIDENT)
(718) 428-6700
Entity
Organization
Contact information
Practice address
4101 BELL BLVD, BAYSIDE, NY 11361-2858
(718) 428-6700
Mailing address
4101 BELL BLVD, BAYSIDE, NY 11361-2858
(718) 428-6700
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
006919
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01984069
—
NY
Enumeration date
05/08/2006
Last updated
08/22/2020
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