Vision World of Myrtle Avenue, INC

NPI #1902353212 in Ridgewood, New York

Provider Information

NPI Number: 1902353212
Entity Type: Organization
Organization Name: Vision World of Myrtle Avenue, INC
Primary Specialty: Optometrist
Enumeration Date: Sep 2, 2016
Last Updated: Nov 18, 2016

Practice Location

Address: 57-52 MYRTLE AVE
City: Ridgewood
State: New York
ZIP Code: 11385
Phone: (718) 497-2020

Authorized Official

Name: DR. AMY GROSSBERG
Title: OD
Phone: (516) 662-8691

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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