Healthcare Provider Details
I. General information
NPI: 1609705912
Provider Name (Legal Business Name): IRIS & OPTICS INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4123 UNION ST FL 2B
FLUSHING NY
11355-2452
US
IV. Provider business mailing address
4123 UNION ST FL 2B
FLUSHING NY
11355-2452
US
V. Phone/Fax
- Phone: 917-783-6611
- Fax:
- Phone: 917-783-6611
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 152W00000X |
| Taxonomy | Optometrist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
WENHUI
LI
Title or Position: OFFICE MANAGER
Credential:
Phone: 917-783-6611