Organization
OPTICAL ACADEMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABEER AYOUB (OPTICIAN)
(718) 607-1068
Entity
Organization
Contact information
Practice address
115 W 45TH ST, SUITE 504, NEW YORK, NY 10036-4005
(180) 061-0823
Mailing address
115 W 45TH ST, SUITE 504, NEW YORK, NY 10036-4005
(180) 061-0823
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV006888-1
NY
156FX1800X
Optician
009212-1
NY
Other
Enumeration date
02/06/2012
Last updated
02/06/2012
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