Organization
JD OPTICIANS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATHEW DEMETRIOU OPTICIAN (OWNER)
(718) 747-2470
Entity
Organization
Contact information
Practice address
152-55 10TH AVE, WHITESTONE, NY 11357-1233
(718) 747-2470
(718) 747-2477
Mailing address
152-55 10TH AVE, WHITESTONE, NY 11357
(718) 747-2470
(718) 747-2477
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
02/07/2011
Last updated
02/07/2011
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