104th St Optical Inc is a Eyewear Supplier based in New York, NY. 104th St Optical Inc practices in New York, NY. The NPI Number for 104th St Optical Inc is 1033278544 and holds a License No. (New York).
The current practice location address for 104th St Optical Inc is 1884 3Rd Ave, New York, NY and can be reached out via phone at 212-831-4733 and via fax at 212-831-0141.
Identifier | Type | State | Issuer |
---|---|---|---|
59C0310 | 01 | NY | COMMUNITY PREMIER PLUS |
02687667 | 05 | NY |
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