Organization
HOLLIS VISION CENTER, OCHO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELLE JODY KOGAN (OWNER)
(718) 465-4999
Entity
Organization
Contact information
Practice address
8787 FRANCIS LEWIS BLVD, QUEENS VILLAGE, NY 11427-2867
(718) 465-4999
(718) 217-6101
Mailing address
8787 FRANCIS LEWIS BLVD, QUEENS VILLAGE, NY 11427-2867
(718) 465-4999
(718) 217-6101
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV007418-1
NY
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
09/19/2008
Last updated
03/18/2015
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