Lens Lab Of Junction Boulevard Inc | |
3740 Junction Blvd, Corona, NY 11368-1741 | |
(718) 507-8114 | |
Not Available |
Full Name | Lens Lab Of Junction Boulevard Inc |
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Type | Facility |
Speciality | Optometrist |
Location | 3740 Junction Blvd, Corona, New York |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1760534549 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Tressa Mahmood |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1811532823 PECOS PAC ID: 9032549662 Enrollment ID: I20200423000629 |
Provider Name | Marwan Y Kassim |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1881267185 PECOS PAC ID: 8820476583 Enrollment ID: I20220608001670 |
Provider Name | Lily Victoria Lee Wang |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1154055242 PECOS PAC ID: 9436525516 Enrollment ID: I20221013003089 |
Mailing Address | Practice Location Address |
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Lens Lab Of Junction Boulevard Inc 3740 Junction Blvd, Corona, NY 11368-1741 Ph: (718) 507-8114 | Lens Lab Of Junction Boulevard Inc 3740 Junction Blvd, Corona, NY 11368-1741 Ph: (718) 507-8114 |
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