Organization
LUV MY VISION OF BBA CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIEL SEZANAYEV (OPTICIAN)
(718) 648-3200
Entity
Organization
Contact information
Practice address
302 BRIGHTON BEACH AVE, BROOKLYN, NY 11235-7413
(718) 648-3200
Mailing address
302 BRIGHTON BEACH AVE, BROOKLYN, NY 11235-7413
(718) 648-3200
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
008312
NY
Other
Enumeration date
10/09/2012
Last updated
10/09/2012
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