| NPI | 1881806917 |
|---|---|
| Doing Business As | JACKSON HEIGHTS VISION CENTER |
| Entity Type | Organization |
| Authorized Contact | ISAIAS LOPE Owner 718-426-2725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY VUT005856) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV005864-1) |
| 152W00000X Optometrist (Licence: NY TUV007098-1) | |
| 152W00000X Optometrist (Licence: NY TUV006744-1) | |
| 156FX1800X Technician/Technologist, Optician (Licence: NY 006945-1) | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2007-10-19 |