Organization
INDIGO OPTICAL CENTER
Active
Organization
INDIGO OPTICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXA PIERRE (RECEPTIONIST)
(347) 808-9155
Entity
Organization
Contact information
Practice address
3241 STEINWAY ST, ASTORIA, NY 11103-4075
(347) 808-9155
(347) 808-9156
Mailing address
3241 STEINWAY ST, ASTORIA, NY 11103-4075
(347) 808-9155
(347) 808-9156
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
TUV004928
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01092213
—
NY
Enumeration date
02/07/2017
Last updated
02/07/2017
Update your record
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