Liberty Eyecare Corp

NPI #1194247619 in South Richmond Hill, New York

Provider Information

NPI Number: 1194247619
Entity Type: Organization
Organization Name: Liberty Eyecare Corp
Primary Specialty: Optometrist
Enumeration Date: Jul 17, 2017
Last Updated: Jul 21, 2022

Practice Location

Address: 11702 LIBERTY AVE
City: South Richmond Hill
State: New York
ZIP Code: 11419-1922
Phone: (718) 517-9191

Authorized Official

Name: MR. BORIS BANGIYEV, OWNER
Title: OWNER
Phone: (718) 517-9191

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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