Organization
EYE GALLERIA,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAEMO PARK OPHTHALMIC DISPENSER (PRESIDENT)
(718) 683-0832
Entity
Organization
Contact information
Practice address
19414 NORTHERN BLVD, FLUSHING, NY 11358-3033
(718) 428-0001
(718) 428-3799
Mailing address
19414 NORTHERN BLVD, FLUSHING, NY 11358-3033
(718) 428-0001
(718) 428-3799
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
06/28/2021
Last updated
06/28/2021
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