Organization Name: | CAITLIN OPTICAL INC |
NPI Number: | 1023144730 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LEONARD RISSMAN (PRES) |
Mailing Address: | 2340 Central Park Ave Yonkers |
State: | NY US |
Postal Code: | 107101216 |
Phone Number: | 9149613737 |
Fax Number: | 9149618944 |
NPI Enumeration Date: | 02/26/2007 |
NPI Last Update Date: | 06/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FX1800X |
License Number: | 003544-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Optician |
Taxonomy Definition: |