Organization
COSMOS TOTAL OPTOMETRY CARE PLLC
Active
Other names
Cosmos Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOANNE ECONOPOULY OD (OD, OWNER)
(718) 458-8500
Entity
Organization
Contact information
Practice address
90-01 ROOSEVELT AVENUE, JACKSON HEIGHTS, NY 11372
(718) 458-8500
(718) 424-3366
Mailing address
90-01 ROOSEVELT AVENUE, JACKSON HEIGHTS, NY 11372
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
006061VUT
NY
332B00000X
Durable Medical Equipment & Medical Supplies
VUT006061
NY
332H00000X
Eyewear Supplier
VUT006061
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02220473
—
NY
Enumeration date
01/30/2009
Last updated
11/17/2015
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