Organization
LJ OPTICAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAVIER LOPE (PRESIDENT)
(718) 864-2576
Entity
Organization
Contact information
Practice address
9557 ROOSEVELT AVE FL 1, JACKSON HEIGHTS, NY 11372-8028
(718) 672-3115
(718) 672-3115
Mailing address
551 MERYL DR, WESTBURY, NY 11590-5311
(718) 672-3115
(718) 672-3115
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
07/10/2009
Last updated
07/10/2009
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