Organization
REYES OPTICA INC.
Active
Parent organization
BURNSIDE OPTICAL INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
BURNSIDE OPTICAL INC.
Authorized official
MR. GUILLERMO Y REYES LICENSED OPTICIAN (PRESIDENT)
(917) 923-0792
Entity
Organization
Contact information
Practice address
1571 SAINT NICHOLAS AVE, NEW YORK, NY 10040-4261
(212) 542-3937
(212) 543-3932
Mailing address
1571 SAINT NICHOLAS AVE, NEW YORK, NY 10040-4261
(212) 542-3937
(212) 543-3932
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
007379-1
NY
Other
Enumeration date
03/29/2012
Last updated
03/29/2012
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