Organization
EYELAND OPTICIANS INC
Active
Other names
National optical
Organization subpart
No
Provider details
NPI number
Authorized official
BORIS TAKHALOV OPTICIAN (OWNER)
(516) 493-9323
Entity
Organization
Contact information
Practice address
111 HEMPSTEAD TPKE, INSIDE NWL, WEST HEMPSTEAD, NY 11552-2155
(516) 493-9323
Mailing address
40 N FRANKLIN ST, HEMPSTEAD, NY 11550-3811
(516) 493-9323
Taxonomy
Speciality
Code
Description
License number
State
156FX1700X
Ocularist
Primary
009414-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03522401
—
NY
Enumeration date
12/13/2012
Last updated
05/03/2019
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