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Organization

SHINE OPTIQUE CORP

Active
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Organization

SHINE OPTIQUE CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MING QIANG MA (OWNER)
(718) 218-8866
Entity
Organization

Contact information

Practice address
291 BEDFORD AVE, BROOKLYN, NY 11211-4225
(718) 218-8866
(718) 218-8869
Mailing address
291 BEDFORD AVE, BROOKLYN, NY 11211-4225
(718) 218-8866
(718) 218-8869

Taxonomy

Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
007790
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
007790
OPTHALMIC DISPENSING LICENSE
NY
Enumeration date
09/06/2018
Last updated
02/02/2026
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