Organization
LUXURY VISION CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARISA MIRAKOVA (OPTICIAN/OWNER)
(917) 471-9505
Entity
Organization
Contact information
Practice address
1125 LIBERTY AVE, BROOKLYN, NY 11208-3310
(917) 471-9505
Mailing address
1125 LIBERTY AVE, BROOKLYN, NY 11208-3310
(917) 471-9505
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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