Organization
LIVING OPTICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL LEE (OWNER)
(718) 888-0210
Entity
Organization
Contact information
Practice address
136-79 ROOSEVELT AVE, FLUSHING, NY 11354
(718) 888-0210
(718) 888-0210
Mailing address
136-79 ROOSEVELT AVE, FLUSHING, NY 11354
(718) 888-0210
(718) 888-0210
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
TUV007520
NY
207W00000X
Ophthalmology Physician
Primary
185626
NY
Other
Enumeration date
09/29/2010
Last updated
12/14/2010
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