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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