Organization
1038 SB OPTICAL CORP
Active
Other names
Metro Optics Eyewear III
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EVA YAN O.D. (PRESIDENT/OPTOMETRIST)
(718) 328-7137
Entity
Organization
Contact information
Practice address
1038 SOUTHERN BLVD, BRONX, NY 10459-3407
(718) 328-7137
Mailing address
1038 SOUTHERN BLVD, BRONX, NY 10459-3407
(718) 328-7137
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
156FX1800X
Optician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03168967
—
NY
Enumeration date
09/22/2009
Last updated
04/16/2013
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