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104TH ST OPTICAL INC
Eyewear Supplier
NPI: 1033278544Organization
Specialties, Licenses & Credentials
Optometrist
Optometrist
Code: 152W00000X
Eyewear SupplierPrimary
Eyewear Supplier
Code: 332H00000X
Contact & Hours
- Address
- 1884 3RD AVE
NEW YORK, NY 10029 - Phone
- (212) 831-4733
Quick Facts
- NPI
- 1033278544
- Entity Type
- Organization
- Medicare
- Not confirmed
- Specialties
- 2
- Locations
- 1
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