Organization
EYEWORLD OPTICAL QCM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA BASILE (MANAGER OF DR. TRAINING AND CREDENT)
(516) 243-8708
Entity
Organization
Contact information
Practice address
9015 QUEENS BLVD FL 1, ELMHURST, NY 11373-4900
(718) 366-8345
Mailing address
9015 QUEENS BLVD FL 1, ELMHURST, NY 11373-4900
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
03/24/2021
Last updated
03/24/2021
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