Organization · Type 2 NPI

Broadway Mall Vision Express, LLC

Eyewear Supplier · Hicksville, NY

NPI number 1982148763 Active

Practice location

358 Broadway Mall, Broadway Mall Suite 371A
Hicksville, NY 11801-2709

Fax (516) 938-8667

Specialties and licenses

TaxonomyCodeLicense
Eyewear Supplier Primary 332H00000X005761 (NY)

Eyewear Supplier: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

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About NPI 1982148763

Broadway Mall Vision Express, LLC's National Provider Identifier is 1982148763, issued on Dec 13, 2016. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Hicksville, NY. The record was last updated on Dec 13, 2016.