NPI 1003162280

Aleksandr Shimunov, OPTITION

Practitioner Technician/Technologist Bronx, NY

Practice location

Address: 1550 University Ave, Bronx, NY 10452-1503
Phone: (917) 204-6655
Fax: (917) 819-3240
Mailing address: P.O. Box 656766, Fresh Meadows, NY 11365

Registered specialties

Technician/Technologist Primary

Eye and Vision Services Providers Taxonomy 156F00000X Licence 007474-1 (NY)

Other Technician/Technologist providers in New York →

Registry record

NPI: 1003162280
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Jul 2012
Record last updated: 2 Aug 2017

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.