Organization
OLIVOS OPTICIANS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE A GOMEZ O.D. (PRESIDENT)
(718) 476-1458
Entity
Organization
Contact information
Practice address
7508 37TH AVE, JACKSON HEIGHTS, NY 11372-6538
(718) 476-1458
(718) 476-1462
Mailing address
7508 37TH AVE, JACKSON HEIGHTS, NY 11372-6538
(718) 476-1458
(718) 476-1462
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
VUT6417
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02266351
—
NY
01
—
1013080415
BLOCK
NY
01
—
287834
UNITED HEALTHCARE
NY
01
—
63132
OPTUM HEALTH
NY
01
—
63179
DAVIS
NY
01
—
7184761458
VSP
NY
01
—
A01762
EYEMED
NY
01
—
T006417
METROPLUS
NY
Enumeration date
07/14/2009
Last updated
03/30/2010
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