Optical Warehouse Outlet

LBN: Coorey Stores Inc
Optical Warehouse Outlet is an health care organization with primary practice located at 8915 165Th St , Jamaica NY 11432-5153. The organization recently has only one registered license in Suppliers / Eyewear Supplier (Equipment, not the service), which is considered as the primary health care specialty. Coorey Stores Inc can be contacted via phone (718) 523-5150, or through Fields, Charles via phone (718) 523-5150.

Contact Information

Primary practice address
8915 165Th St Jamaica NY 11432-5153
Phone: (718) 523-5150
Fax: (718) 523-5212
Website:
Map and Directions
Authorized official contact:
Name: Fields, Charles Doctor of Optometry (OD)
Phone: (718) 523-5150

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X 02145-1 New York

Profile Details

NPI number 1306079033
LBN Legal business name Coorey Stores Inc
DBA Doing business as Optical Warehouse Outlet
Authorized official Fields, Charles Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 28th, 2009
Last updated Aug 28th, 2009 - about 16 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 1306079033 NPPES
New York MEDICAID 01857689

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