Emani & Divine Eyes, Inc.

NPI #1427351485 in Rockaway Beach, New York

Provider Information

NPI Number
1427351485
Entity Type
Organization
Organization Name
Emani & Divine Eyes, Inc.
Primary Specialty
Point of Service
Enumeration Date
Dec 14, 2010
Last Updated
Dec 14, 2010

Practice Location

Address
97-04 ROCKAWAY BEACH BLVD
ZIP Code
11693-1313
Phone
(718) 474-0064

Authorized Official

Name
MR. HOWARD RANDOLPH ELLISON
Title
OPTICIAN
Phone
(917) 291-2370

Specialties & Taxonomy Codes

Specialty
Point of Service

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