Organization
OPTICAL CHOICE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PINKHOZ YUSUPOV (OWNER)
(718) 793-2461
Entity
Organization
Contact information
Practice address
11811 QUEENS BLVD, FOREST HILLS, NY 11375-7202
(718) 793-2461
Mailing address
11811 QUEENS BLVD, FOREST HILLS, NY 11375-7202
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
007169-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02245238
—
NY
Enumeration date
09/16/2006
Last updated
08/26/2010
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