Organization
MY OPTICAL BROOKLYN INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARAT SHLIMOV OPTICIAN (PRESIDENT AND OPTICIAN)
(718) 240-9401
Entity
Organization
Contact information
Practice address
922 PENNSYLVANIA AVE, BROOKLYN, NY 11207-8402
(718) 240-9401
Mailing address
922 PENNSYLVANIA AVE, BROOKLYN, NY 11207-8402
(718) 240-9401
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02859938
—
NY
Enumeration date
02/08/2007
Last updated
05/02/2008
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