Organization
EYE LAB OPTICIAN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BAHUR YACOBOV OPTICIAN (OWNER)
(718) 849-0847
Entity
Organization
Contact information
Practice address
8113 LEFFERTS BLVD, KEW GARDENS, NY 11415-1727
(718) 849-0847
(718) 849-0864
Mailing address
8113 LEFFERTS BLVD, KEW GARDENS, NY 11415-1727
(718) 849-0847
(718) 849-0864
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
6538-1
NY
Other
Enumeration date
02/25/2015
Last updated
10/12/2023
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