Organization
RIDGEWOOD OPTICAL WAREHOUSE OUTLET CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD DAVIDOV (OPTICIAN,MANAGER)
(718) 386-2423
Entity
Organization
Contact information
Practice address
6041 MYRTLE AVE, RIDGEWOOD, NY 11385-5933
(718) 386-2423
Mailing address
6041 MYRTLE AVE, RIDGEWOOD, NY 11385-5933
(718) 386-2423
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
07646
NY
Other
Enumeration date
01/09/2007
Last updated
08/22/2020
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