Organization
JACKSON HEIGHTS VISION EXPRESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEONID VAYNER (OWNER)
(917) 748-1570
Entity
Organization
Contact information
Practice address
3727 82ND ST, JACKSON HEIGHTS, NY 11372-7031
(718) 458-8800
(718) 458-9678
Mailing address
3727 82ND ST, JACKSON HEIGHTS, NY 11372-7031
(718) 458-8800
(718) 458-9678
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
10/05/2020
Last updated
10/13/2020
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