Organization
JGM GROUP INC
Active
Other names
Web Eye Store
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE ANTHONY GONZALES L.D.O (SUPERVISING OPTICIAN)
(888) 898-5367
Entity
Organization
Contact information
Practice address
68 JAY ST STE 421, BROOKLYN, NY 11201-8310
(888) 898-5367
Mailing address
12 HALL ST, BROOKLYN, NY 11205-1304
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
5743-1
NY
Other
Enumeration date
07/20/2011
Last updated
07/20/2011
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