| Organization Name: | G & B OPTICAL CORP |
| NPI Number: | 1134275464 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GENE GOLD (PRESIDENT) |
| Mailing Address: | 111 Independent Way Suite B Brewster |
| State: | NY US |
| Postal Code: | 105092369 |
| Phone Number: | 8452787800 |
| Fax Number: | 8452787839 |
| NPI Enumeration Date: | 01/27/2007 |
| NPI Last Update Date: | 03/12/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156FX1100X |
| License Number: | 004643-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | Ophthalmic |
| Taxonomy Definition: | |