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Organization

FREE FORM OPTICAL INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KONSTANTIN TOKAREV (OWNER)
(212) 868-3310
Entity
Organization

Contact information

Practice address
7 E 33RD ST, NEW YORK, NY 10016-5002
(212) 868-3310
Mailing address
7 E 33RD ST, NEW YORK, NY 10016-5002
(212) 868-3310

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary

Other

Enumeration date
01/10/2018
Last updated
01/10/2018
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Product
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  • Eligibility checks
  • EDI platform