Organization
ES EN EL EYE OPTOMETRISTS, PLLC
Active
Other names
Revolution Eyes
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMY LEE O.D. (CO-OWNDER)
(212) 608-1111
Entity
Organization
Contact information
Practice address
82 W BROADWAY, NEW YORK, NY 10007-1020
(212) 608-1111
Mailing address
82 W. BROADWAY, NEW YORK, NY 10007
(212) 608-1111
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV006862
NY
Other
Enumeration date
08/06/2013
Last updated
08/06/2013
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