Organization
OPTICAL WAREHOUSE OUTLET OF WIILIAMSBURGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VADIM KRUZHKOV OPTICIAN (MANAGER)
(718) 388-3300
Entity
Organization
Contact information
Practice address
366 GRAHAM AVE, BROOKLYN, NY 11211-2410
(718) 388-3300
Mailing address
366 GRAHAM AVE, BROOKLYN, NY 11211-2410
(718) 388-3300
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
T6451-1
NY
156FX1800X
Optician
Primary
007005
NY
Other
Enumeration date
11/08/2006
Last updated
09/11/2025
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