NPI 1417092313

My Optician Nyc Corp

Organisation Optician Bronx, NY

Practice location

Address: 5227 Broadway, Bronx, NY 10463-7636
Phone: (212) 693-1111
Fax: (212) 693-1114
Mailing address: 5227 Broadway, Bronx, NY 10463

Authorised official

Name: Marat Shlimov
Title: Optician
Phone: (212) 693-1111

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X Licence 007320 (NY)

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Registry record

NPI: 1417092313
Entity type: Organization
NPI issued: 20 Feb 2007
Record last updated: 25 Oct 2013

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.