Organization
SHARP VISION OPTICAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES J GAUDIO OD (OPTOMETRIST)
(718) 458-5055
Entity
Organization
Contact information
Practice address
6911 GRAND AVE, MASPETH, NY 11378-1812
(718) 458-5055
(718) 458-8453
Mailing address
6911 GRAND AVE, MASPETH, NY 11378-1812
(718) 458-5055
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
VUT005179
NY
332H00000X
Eyewear Supplier
Primary
VUT005179
NY
Other
Enumeration date
01/05/2007
Last updated
12/27/2007
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