Organization
BROOKE PLAZA OPTICAL, INC.
Active
Other names
Plaza Optical
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD BOHN OD (PRESIDENT)
(516) 678-1616
Entity
Organization
Contact information
Practice address
3450 LONG BEACH RD, OCEANSIDE, NY 11572-5440
(516) 678-1616
(516) 764-2711
Mailing address
3450 LONG BEACH RD, OCEANSIDE, NY 11572-5440
(516) 678-1616
(516) 764-2711
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
VUT2830-1
NY
Other
Enumeration date
02/20/2008
Last updated
05/19/2009
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