Organization
KINGSBRIDGE OPTOMETRIC EYE CARE P.C.
Active
Other names
kingsbridge eye center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER S BAE O.D. (PRESIDENT)
(718) 432-5555
Entity
Organization
Contact information
Practice address
103 W KINGSBRIDGE RD, BRONX, NY 10468-3902
(718) 432-5555
(718) 548-2399
Mailing address
103 W KINGSBRIDGE RD, BRONX, NY 10468-3902
(718) 432-5555
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02632864
—
NY
Enumeration date
11/22/2005
Last updated
11/18/2010
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