Provider Demographics
NPI:1376882092
Name:COCOS VISION
Entity Type:Organization
Organization Name:COCOS VISION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AVI
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOAI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-424-0043
Mailing Address - Street 1:8306 37TH AVE
Mailing Address - Street 2:
Mailing Address - City:JACKSON HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11372-7324
Mailing Address - Country:US
Mailing Address - Phone:718-424-0043
Mailing Address - Fax:347-761-3044
Practice Address - Street 1:8306 37TH AVE
Practice Address - Street 2:
Practice Address - City:JACKSON HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11372-7324
Practice Address - Country:US
Practice Address - Phone:718-424-0043
Practice Address - Fax:347-761-3044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-01
Last Update Date:2013-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier