NPI 1184392490

Ian Price Olexio, OD

Practitioner Optometrist Jamaica, NY

Practice location

Address: 16415 Jamaica Ave, Jamaica, NY 11432-4913
Phone: (929) 218-7155
Mailing address: 261 Evergreen Ave APT 1f, Brooklyn, NY 11221-6260

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 009457 (NY)

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Registry record

NPI: 1184392490
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Sep 2021
Record last updated: 1 Sep 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.