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Contact Information

LARISA MIRAKOVA
LUXURY VISION CENTER
1125 LIBERTY AVE
BROOKLYN, NY11208
 Phone: 917-471-9505
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optician

156FX1800X 96[5] Optician
Indicates primary specialty

NPI Profile & details for LARISA MIRAKOVA · (Female)

NPI Number 1841971306
Status Active
Credentials
Entity Individual
Enumeration date 07/27/2023
Last updated 07/27/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 008101
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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