NPI 1700974946 SOUTH PARK OPTICAL, INC. BLASDELL NY. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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South Park Optical, Inc. - NPI: 1700974946

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Organization Name: SOUTH PARK OPTICAL, INC.
NPI Number: 1700974946
Entity Type Code: Organizational (2)
Authorized Official Name: JAMES GORDON BEITER
(OPTICIAN)
Mailing Address: 3861 S Park Ave
Blasdell
State: NY US
Postal Code: 142191813
Phone Number: 7168236093
Fax Number:
NPI Enumeration Date: 10/11/2006
NPI Last Update Date: 12/05/2014
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 156FX1800X
License Number: C-5093-1
Healthcare Provider Taxonomy:
(Secondary)
N
State: NY
Taxonomy Type: Eye and Vision Services Providers
Taxonomy Classification: Technician/Technologist
Taxonomy Specialization: Optician
Taxonomy Definition:


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