Organization
HALL OF FRAMES OPTHALMIC DISPENSING PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEKSANDR SHIMUNOV (OPTICIAN)
(917) 204-6655
Entity
Organization
Contact information
Practice address
1550 UNIVERSITY AVE, BRONX, NY 10452-1503
(917) 819-3239
Mailing address
16712 69TH AVE, FRESH MEADOWS, NY 11365-3250
(917) 204-6655
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
007474
NY
Other
Enumeration date
09/05/2012
Last updated
03/27/2019
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