Organization
BONAFIDE EYEWEAR LLC
Active
Other names
Bonafide Eyeware
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEX BABAYEV (OWNER)
(917) 680-1470
Entity
Organization
Contact information
Practice address
6825 FRESHPOND RD, RIDGEWOOD, NY 11385
(718) 386-9721
Mailing address
6825 FRESHPOND ROAD, RIDGEWOOD, NY 11385
(718) 386-9721
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
332H00000X
Eyewear Supplier
4359
NY
Other
Enumeration date
04/09/2007
Last updated
04/15/2022
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