Cocos Vision Designer Optical

NPI #1235780719 in Astoria, New York

Provider Information

NPI Number: 1235780719
Entity Type: Organization
Organization Name: Cocos Vision Designer Optical
Subpart: Yes (part of a larger organization)
Parent Organization: COCOS VISION DESIGNER OPTICAL
Primary Specialty: Optometrist
Enumeration Date: Sep 25, 2019
Last Updated: Sep 25, 2019

Practice Location

Address: 3185 STEINWAY ST
City: Astoria
State: New York
ZIP Code: 11103-3908
Phone: (718) 685-2009

Authorized Official

Name: ETHAN FARAONOV
Title: MANAGER
Phone: (516) 727-5070

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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