Optical Shop of Deer Park INC
NPI #1386101632 in Deer Park, New York
Provider Information
- NPI Number
- 1386101632
- Entity Type
- Organization
- Organization Name
- Optical Shop of Deer Park INC
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Feb 22, 2019
- Last Updated
- Jul 2, 2019
Practice Location
Authorized Official
- Name
- LEONID GLADSTEIN
- Title
- OWNER
- Phone
- (917) 887-8872
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
| Eyewear Supplier |
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