Organization Name: | ABC OPTICAL INC |
NPI Number: | 1063892792 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MAXIMO SUAREZ (OPTICIAN/MANAGER) |
Mailing Address: | 368 Hempstead Tpke West Hempstead |
State: | NY US |
Postal Code: | 115521330 |
Phone Number: | 5164855050 |
Fax Number: | 5164854040 |
NPI Enumeration Date: | 06/08/2015 |
NPI Last Update Date: | 06/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | 009326-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
Taxonomy Specialization: | |
Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |