Organization
MR OPTICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MORTON BOGATY NYS OPTICIAN (OWNER OPTICIAN)
(718) 423-3937
Entity
Organization
Contact information
Practice address
5604 MARATHON PKWY, DOUGLASTON, NY 11362-2034
(718) 423-3937
(718) 423-3999
Mailing address
5604 MARATHON PKWY, DOUGLASTON, NY 11362-2034
(718) 423-3937
(718) 423-3999
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
4284
NY
Other
Enumeration date
12/10/2007
Last updated
02/14/2008
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