Organization
MK VISION CENTER I, INC
Active
Other names
MK VISION CENTER, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KALEENA MA (OWNER)
(718) 575-8288
Entity
Organization
Contact information
Practice address
7010 AUSTIN ST STE 2, FOREST HILLS, NY 11375-4763
(718) 575-8288
Mailing address
7010 AUSTIN ST STE 2, FOREST HILLS, NY 11375-4763
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03086528
—
NY
Enumeration date
08/24/2020
Last updated
08/24/2020
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