Provider Demographics
NPI:1407031933
Name:M&L VISION CENTER
Entity Type:Organization
Organization Name:M&L VISION CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPHTHALMIC DISPENSER
Authorized Official - Prefix:MR
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:S
Authorized Official - Last Name:ARNO
Authorized Official - Suffix:
Authorized Official - Credentials:OPTICIAN
Authorized Official - Phone:718-748-7061
Mailing Address - Street 1:7420 13TH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11228-2021
Mailing Address - Country:US
Mailing Address - Phone:718-748-7061
Mailing Address - Fax:718-748-7061
Practice Address - Street 1:7420 13TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11228-2021
Practice Address - Country:US
Practice Address - Phone:718-748-7061
Practice Address - Fax:718-748-7061
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-03
Last Update Date:2008-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005532332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0817830001Medicare NSC