Organization
TAG VISION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MADELIN MARIE GEORGE (OWNER)
(718) 462-0500
Entity
Organization
Contact information
Practice address
2830 CHURCH AVE, BROOKLYN, NY 11226-4106
(718) 462-0500
Mailing address
2830 CHURCH AVE, BROOKLYN, NY 11226-4106
(718) 462-0500
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5920
NY
Other
Enumeration date
03/14/2007
Last updated
08/22/2020
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