Ophthalmic Lab Solutions, LLC

NPI #1174892418 in Ridgewood, New York

Provider Information

NPI Number: 1174892418
Entity Type: Organization
Organization Name: Ophthalmic Lab Solutions, LLC
Primary Specialty: Clinic/Center - Primary Care
Enumeration Date: Dec 15, 2011
Last Updated: Dec 15, 2011

Practice Location

Address: 5902 CATALPA AVE
City: Ridgewood
State: New York
ZIP Code: 11385-4461
Phone: (718) 821-1112

Authorized Official

Name: DR. ELLIOT R ROTH, O.D.
Title: OPTOMETRIST
Phone: (516) 849-8710

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Primary Care — Primary Care	261QP2300X	Primary

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