Organization
INTERMED OPTICAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LENNY TEMIRYAYEV O.D. (PRESIDENT)
(718) 621-1624
Entity
Organization
Contact information
Practice address
1849 86TH ST, BROOKLYN, NY 11214-3108
(718) 621-1624
Mailing address
1849 86TH ST, BROOKLYN, NY 11214-3108
(718) 621-1624
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
0084861
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02323655
—
NY
Enumeration date
11/30/2006
Last updated
08/22/2020
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