Organization
FOR EYES OPTICAL OF PA
Active
Other names
For Eyes
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFRY MARTIN (VP)
(305) 557-9004
Entity
Organization
Contact information
Practice address
420 LEXINGTON AVE, NEW YORK, NY 10170-0002
(212) 697-8888
Mailing address
285 W 74TH PL, HIALEAH, FL 33014-5058
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
007787-1
NY
Other
Enumeration date
02/06/2007
Last updated
01/29/2008
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