NPI 1013506948

Izick Khanimov, OPTICIAN

Practitioner Ophthalmic Assistant Brooklyn, NY

Practice location

Address: 115 7th Ave, Brooklyn, NY 11215-1301
Phone: (718) 398-2020
Fax: (718) 230-0024

Registered specialties

Ophthalmic Assistant Primary

Eye and Vision Services Providers Taxonomy 156FX1101X Licence 00897-01 (NY)

Other Technician/Technologist providers in New York →

Registry record

NPI: 1013506948
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Jan 2021
Record last updated: 14 Jan 2021

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.