Organization
JLC OPTICAL, CORP
Active
Other names
cohen's fashion optical
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHARLOTTE SMILOVICH (MGR)
(631) 727-3173
Entity
Organization
Contact information
Practice address
755 OLD COUNTRY RD, RIVERHEAD, NY 11901-2111
(631) 727-3173
(631) 727-9194
Mailing address
755 OLD COUNTRY RD, RIVERHEAD, NY 11901-2111
(631) 727-3173
(631) 727-9194
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
T002927-1
NY
Other
Enumeration date
01/05/2009
Last updated
05/26/2009
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