Pure Vision Optical 2 Llc | |
53 W Fordham Rd Frnt 4, Bronx, NY 10468-5110 | |
(917) 670-5116 | |
Not Available |
Full Name | Pure Vision Optical 2 Llc |
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Type | Facility |
Speciality | Optometrist |
Location | 53 W Fordham Rd Frnt 4, Bronx, 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 |
---|---|---|---|
1164156261 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Inessa Jacobs |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1609257872 PECOS PAC ID: 5092018408 Enrollment ID: I20160119001657 |
Provider Name | Lucy Zhu |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1912560319 PECOS PAC ID: 8921337619 Enrollment ID: I20190905001304 |
Mailing Address | Practice Location Address |
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Pure Vision Optical 2 Llc 53 W Fordham Rd Frnt 4, Bronx, NY 10468-5110 Ph: (917) 670-5116 | Pure Vision Optical 2 Llc 53 W Fordham Rd Frnt 4, Bronx, NY 10468-5110 Ph: (917) 670-5116 |
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