Organization
MIDWAY OPTICS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELYSE M TERAN (PRESIDENT)
(516) 593-2888
Entity
Organization
Contact information
Practice address
91 BROADWAY, LYNBROOK, NY 11563-3234
(516) 593-2888
Mailing address
91 BROADWAY, LYNBROOK, NY 11563-3234
(516) 593-2888
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
006919
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01984270
—
NY
Enumeration date
05/05/2006
Last updated
07/22/2013
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