Organization
MARSH OPTICAL BOUTIQUE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WENDY MARSH (OWNER)
(718) 380-5353
Entity
Organization
Contact information
Practice address
18012 UNION TPKE, FRESH MEADOWS, NY 11366-1620
(718) 380-5353
(718) 380-5396
Mailing address
18012 UNION TPKE, FRESH MEADOWS, NY 11366-1620
(718) 380-5353
(718) 380-5396
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4807
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01449467
—
NY
Enumeration date
05/16/2007
Last updated
09/30/2014
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