Organization
VISION HUB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ILONNA TAKHALOVA (PRESIDENT)
(631) 485-3636
Entity
Organization
Contact information
Practice address
59 MERRICK RD STE B, AMITYVILLE, NY 11701-3453
(631) 485-3636
(631) 485-3633
Mailing address
59 MERRICK RD STE B, AMITYVILLE, NY 11701-3453
(631) 485-3636
(631) 485-3633
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
08/10/2022
Last updated
08/10/2022
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