| Organization Name: | VISION QUEST OPTICAL OF JACKSON HEIGHTS, INC. |
| NPI Number: | 1568514388 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BRADLEY POLAN (OWNER) |
| Mailing Address: | 8202 37th Ave Jackson Heights |
| State: | NY US |
| Postal Code: | 113727023 |
| Phone Number: | 7184783539 |
| Fax Number: | |
| NPI Enumeration Date: | 01/18/2007 |
| NPI Last Update Date: | 05/09/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156F00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A broad category grouping different kinds of technologists and technicians. See individual definitions. |