Living Optical INC

NPI #1619286341 in Flushing, New York

Provider Information

NPI Number: 1619286341
Entity Type: Organization
Organization Name: Living Optical INC
Primary Specialty: Ophthalmology
Enumeration Date: Sep 29, 2010
Last Updated: Dec 14, 2010

Practice Location

Address: 136-79 ROOSEVELT AVE
City: Flushing
State: New York
ZIP Code: 11354
Phone: (718) 888-0210

Authorized Official

Name: SAMUEL LEE
Title: OWNER
Phone: (718) 888-0210

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X
Ophthalmology	207W00000X	Primary

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