Organization
JAM RETAIL
Active
Other names
Wizard of Eyes
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALAN SICHERMAN (OWNER)
(718) 224-6778
Entity
Organization
Contact information
Practice address
16501 JAMAICA AVE, JAMAICA, NY 11432-4912
(718) 523-0730
Mailing address
16501 JAMAICA AVE, JAMAICA, NY 11432-4912
(718) 523-0730
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
07/26/2007
Last updated
07/26/2007
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