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NPI Code Detail

MEDICARE: A & V OPTICAL LLC

MEDICARE: A & V OPTICAL LLC
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
1332H00000XEyewear Supplier

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1295335354
Entity Type Code : Organization
Provider Name (Legal Business Name) : A & V OPTICAL LLC
Provider Business Mailing Address
First Line : 2922 AVENUE L
Second Line :
City : BROOKLYN
State : NY
Zip : 11210-4639
Country : US
Telephone Number : 718-758-2020
Fax Number : 718-513-6912
Provider Business Practice Location Address
First Line : 2922 AVENUE L
Second Line :
City : BROOKLYN
State : NY
Zip : 11210-4639
Country : US
Telephone Number : 718-758-2020
Fax Number : 718-513-6912
Authorized Official
Title or Position : OWNER
Name : WILLIAM BENEDEK
Credential :
Telephone Number : 917-620-3911
Provider Enumeration Date : 10/28/2020
Last Update Date : 10/28/2020

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Directions to “A & V OPTICAL LLC ” Practice Location

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