Organization
ICU OPTICAL INC.
Active
Organization
ICU OPTICAL INC.
Active
Other names
ICU OPTICAL
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN ANN MARACINA OPTICIAN (OWNER)
(631) 648-9488
Entity
Organization
Contact information
Practice address
601 PORTION RD STE 14, RONKONKOMA, NY 11779-4584
(631) 648-9488
(631) 648-9487
Mailing address
601 PORTION RD STE 14, RONKONKOMA, NY 11779-4584
(631) 648-9488
(631) 648-9487
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
03/26/2007
Last updated
10/07/2009
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