Optical Warehouse Outlet of Brooklyn INC

NPI #1982646477 in Brooklyn, New York

Provider Information

NPI Number
1982646477
Entity Type
Organization
Organization Name
Optical Warehouse Outlet of Brooklyn INC
Primary Specialty
Exclusive Provider Organization
Enumeration Date
Jun 11, 2006
Last Updated
Oct 4, 2012

Practice Location

Address
844 FLATBUSH AVE
ZIP Code
11226-3189
Phone
(718) 941-8585

Authorized Official

Name
YURY DAVYDOV
Title
PRESIDENT
Phone
(718) 941-8585

Specialties & Taxonomy Codes

Specialty
Exclusive Provider Organization

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