Indigo Optical Inc.

NPI #1851678809 in Astoria, New York

Provider Information

NPI Number: 1851678809
Entity Type: Organization
Organization Name: Indigo Optical Inc.
Primary Specialty: Optometrist
Enumeration Date: Nov 4, 2011
Last Updated: Nov 4, 2011

Practice Location

Address: 3241 STEINWAY ST STE A
City: Astoria
State: New York
ZIP Code: 11103-4036
Phone: (347) 808-9155

Authorized Official

Name: MR. ROBERT YUSUPOV
Title: OWNER/OPTICIAN
Phone: (347) 808-9155

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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