Organization
MODERN OPTIKA ,INC
Active
Other names
modern optical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEONARD DONDE OD (OPTICIAN)
(718) 336-1060
Entity
Organization
Contact information
Practice address
453 KINGS HWY, BROOKLYN, NY 11223-1803
(718) 336-1060
(718) 336-0113
Mailing address
453 KINGS HWY, BROOKLYN, NY 11223-1803
(718) 336-1060
(718) 336-0113
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
0071631
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02376167
—
NY
Enumeration date
05/10/2006
Last updated
12/11/2007
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