NPI 1114123031

Excel Optical Corp

Organisation Optician Flushing, NY

Practice location

Address: 4348 Colden St, Flushing, NY 11355-3934
Phone: (718) 755-0656
Fax: (888) 500-0406

Authorised official

Name: Vyacheslav Pinkhasov
Title: Executive Director
Phone: (718) 755-0656

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X Licence 007973-1 (NY)

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Registry record

NPI: 1114123031
Entity type: Organization
NPI issued: 26 Jun 2007
Record last updated: 19 Nov 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.