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Organization

DIGITAL OPTIKS LLC

Active
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Organization

DIGITAL OPTIKS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. SURESH SANPAUL (OPTICIAN)
(718) 297-2997
Entity
Organization

Contact information

Practice address
18116 HILLSIDE AVE, JAMAICA, NY 11432-4852
(718) 297-2997
(718) 880-9849
Mailing address
9065 180TH ST, JAMAICA, NY 11432-5612
(718) 297-2997
(718) 880-9849

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
152WP0200X
Pediatric Optometrist
156FX1800X
Optician
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
5810
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03978205
NY
Enumeration date
11/04/2014
Last updated
07/29/2024
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