Burnside Optical Inc.

LBN: Burnside Optical Inc.
Burnside Optical Inc. is an health care organization with primary practice located at 54 W Burnside Ave , Bronx NY 10453-4018. The organization recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as the primary health care specialty. Burnside Optical Inc. can be contacted via phone (718) 299-5454, or through Reyes, Guillermo Ysmael via phone (718) 299-5454.

Contact Information

Primary practice address
54 W Burnside Ave Bronx NY 10453-4018
Phone: (718) 299-5454
Fax: (718) 299-0770
Website:
Map and Directions
Authorized official contact:
Name: Reyes, Guillermo Ysmael
Phone: (718) 299-5454

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 0073791 New York

Profile Details

NPI number 1568530079
LBN Legal business name Burnside Optical Inc.
DBA Doing business as
Authorized official Reyes, Guillermo Ysmael
Entity Organization
Organization subpart 1 No
Enumeration date Dec 1st, 2006
Last updated Mar 5th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568530079 NPPES
New York MEDICAID 01956270

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