Organization
ELMHURST OPTOMETRY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PEZHMAN HOURIZADEH O.D. (OWNER/PRACTITIONER)
(718) 625-8445
Entity
Organization
Contact information
Practice address
10304 ROOSEVELT AVE, CORONA, NY 11368-2330
(718) 625-8445
(718) 424-1330
Mailing address
10304 ROOSEVELT AVE, CORONA, NY 11368-2330
(718) 625-8445
(718) 424-1330
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV007045
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03316685
—
NY
Enumeration date
01/04/2011
Last updated
03/30/2022
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