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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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