Organization
TAG OPTICAL CORP
Active
Other names
Optica Express
Organization subpart
No
Provider details
NPI number
Authorized official
TRACEY ROMANO (MANAGER)
(212) 568-4693
Entity
Organization
Contact information
Practice address
3929 BROADWAY, NEW YORK, NY 10032-1538
(212) 568-4693
Mailing address
3929 BROADWAY, NEW YORK, NY 10032-1538
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV005225-1
NY
Other
Enumeration date
04/09/2007
Last updated
03/01/2021
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