Organization
USA OPTICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER J BROWN (OWNER)
(212) 594-0751
Entity
Organization
Contact information
Practice address
316 E FORDHAM RD, BRONX, NY 10458-5008
(718) 733-0900
(718) 220-2416
Mailing address
330 W 38TH ST, #805, NEW YORK, NY 10018-2999
(212) 594-0751
(212) 594-0753
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02253794
—
NY
Enumeration date
02/17/2007
Last updated
08/22/2020
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