Organization
DR. LUCIA PATINO, OPTOMETRIST, PC
Active
Other names
DR. LUCIA PATINO, OPTOMETRIST, PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUCIA PATINO O.D. (OWNER)
(718) 505-9401
Entity
Organization
Contact information
Practice address
8114 ROOSEVELT AVE, JACKSON HEIGHTS, NY 11372-6746
(718) 505-9401
(718) 505-9403
Mailing address
8114 ROOSEVELT AVENUE, JACKSON HEIGHTS, NY 11372
(718) 505-9401
(718) 505-9403
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
VUT 006595
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03025981
—
NY
Enumeration date
07/29/2008
Last updated
07/21/2022
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