Organization
786 UNITED INC.
Active
Other names
NEW CLEAR VISION OPTICAL
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AFZAL YAKUB (MANAGER)
(718) 641-3450
Entity
Organization
Contact information
Practice address
11104 LIBERTY AVE, SOUTH RICHMOND HILL, NY 11419-1812
(718) 641-3450
(718) 641-3792
Mailing address
11104 LIBERTY AVE, SOUTH RICHMOND HILL, NY 11419-1812
(718) 641-3450
(718) 641-3792
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV006453
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02072957
—
NY
Enumeration date
01/25/2007
Last updated
08/22/2020
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