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NPI Code Detail

MEDICARE: FLATBUSH EXPRESS OPTICAL, INC

MEDICARE: FLATBUSH EXPRESS OPTICAL, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1156FC0800XContact Lens Technician/Technologist

General Provider Information

NPI Number : 1245461144
Entity Type Code : Organization
Provider Name (Legal Business Name) : FLATBUSH EXPRESS OPTICAL, INC
Provider Business Mailing Address
First Line : 860 FLATBUSH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11226-3102
Country : US
Telephone Number : 718-282-4777
Fax Number :
Provider Business Practice Location Address
First Line : 860 FLATBUSH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11226-3102
Country : US
Telephone Number : 718-282-4777
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MRS. YELENA ANOSHINA
Credential :
Telephone Number : 718-757-6646
Provider Enumeration Date : 07/27/2009
Last Update Date : 07/27/2009

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Directions to “FLATBUSH EXPRESS OPTICAL, INC ” Practice Location

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