Organization
MAZ OPTICAL, INC
Active
Other names
MAZ Optical
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARILYN A PEPPERS LDO (PRESIDENT)
(631) 471-0600
Entity
Organization
Contact information
Practice address
971 MAIN ST, SUITE D, HOLBROOK, NY 11741-1609
(631) 471-0600
(631) 883-3365
Mailing address
971 MAIN ST, SUITE D, HOLBROOK, NY 11741-1609
(631) 471-0600
(631) 883-3365
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
332H00000X
Eyewear Supplier
Primary
5877-1
NY
Other
Enumeration date
08/11/2009
Last updated
03/10/2014
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