Organization
IMPULSE DESIGNER EYEWEAR CORP
Active
Other names
eyeglass factory on broadway
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDY WONG (OPTICIAN)
(718) 271-1782
Entity
Organization
Contact information
Practice address
83-19 BROADWAY, ELMHURST, NY 11373
(718) 271-1782
Mailing address
83-19 BROADWAY, ELMHURST, NY 11373
(718) 271-1782
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
156FC0800X
Contact Lens Technician/Technologist
—
—
156FC0801X
Contact Lens Fitter
—
—
156FX1800X
Optician
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
04/25/2016
Last updated
04/25/2016
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