Mk Vision Center Llc | |
10729 71st Ave, Forest Hills, NY 11375-4724 | |
(718) 575-8288 | |
Not Available |
Full Name | Mk Vision Center Llc |
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Type | Facility |
Speciality | Optometrist |
Location | 10729 71st Ave, Forest Hills, 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 |
---|---|---|---|
1396158531 | NPI | - | NPPES |
03279398 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Jet T Ruttanasee |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1396931689 PECOS PAC ID: 9032260047 Enrollment ID: I20090706000024 |
Mailing Address | Practice Location Address |
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Mk Vision Center Llc 10729 71st Ave, Forest Hills, NY 11375-4724 Ph: () - | Mk Vision Center Llc 10729 71st Ave, Forest Hills, NY 11375-4724 Ph: (718) 575-8288 |
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