Organization
FAMILY OPTICAL SHOPPE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IZABELLA GUGILEV-CALIK OPTICIAN (PRESIDENT)
(718) 861-6009
Entity
Organization
Contact information
Practice address
1594 WESTCHESTER AVE, BRONX, NY 10472-2919
(718) 861-6009
(718) 861-6679
Mailing address
1594 WESTCHESTER AVE, BRONX, NY 10472-2919
(718) 861-6009
(718) 861-6679
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
008120-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02529702
—
NY
01
—
27909
SPECTERA
NY
01
—
49756
DAVIS VISION
NY
01
—
4C9879
HEALTHNET
NY
01
—
906025
BLOCK VISION
NY
Enumeration date
06/04/2006
Last updated
02/26/2009
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