Organization
ROOSEVELT FIELD VISION EXPRESS, LLC
Active
Organization
ROOSEVELT FIELD VISION EXPRESS, LLC
Active
Other names
Ultimate Spectacle
Organization subpart
No
Provider details
NPI number
Authorized official
LEONID VAYNER (PRESIDENT)
(917) 748-1570
Entity
Organization
Contact information
Practice address
630 OLD COUNTRY RD UNIT 493A, GARDEN CITY, NY 11530-3505
(917) 748-1570
Mailing address
630 OLD COUNTRY RD UNIT 493A, GARDEN CITY, NY 11530-3505
(917) 748-1570
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
005243
NY
Other
Enumeration date
08/17/2017
Last updated
07/21/2022
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