Organization
IEA ASTORIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDON OR OD (OPTOMETRIST)
(917) 817-1868
Entity
Organization
Contact information
Practice address
2248 31ST ST, ASTORIA, NY 11105-2714
(718) 267-1333
Mailing address
2248 31ST ST, ASTORIA, NY 11105-2714
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
08/22/2026
Last updated
08/22/2026
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