Organization
LC OPTICAL
Active
Organization
LC OPTICAL
Active
Other names
Macy's Vision Express
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUCY E CEDERHOLM OD (OWNER)
(718) 802-7674
Entity
Organization
Contact information
Practice address
420 FULTON ST, BROOKLYN, NY 11201-5214
(718) 802-7674
(718) 802-7591
Mailing address
420 FULTON ST, BROOKLYN, NY 11201-5214
(718) 802-7674
(718) 802-7591
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
TUV0058841
NY
Other
Enumeration date
02/14/2012
Last updated
02/14/2012
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