Organization
NYC OPTICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREY GAN (OWNER)
(718) 902-9592
Entity
Organization
Contact information
Practice address
1354 PENNSYLVANIA AVE, BROOKLYN, NY 11239-2111
(718) 642-3526
(718) 642-3496
Mailing address
2580 OCEAN PKWY APT 6N, BROOKLYN, NY 11235-7736
(718) 757-9266
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T005287
NY
Other
Enumeration date
05/21/2018
Last updated
12/07/2022
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