Brookhaven Opticians

LBN: East Main Street Opticians Inc.
Brookhaven Opticians is an health care organization with primary practice located at 180 E Main St Ste 4 , Patchogue NY 11772-3171. 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. East Main Street Opticians Inc. can be contacted via phone (631) 475-5030, or through Mastrorocco, Paul via phone (631) 553-6747.

Contact Information

Primary practice address
180 E Main St Ste 4 Patchogue NY 11772-3171
Phone: (631) 475-5030
Fax: (631) 475-5037
Website:
Map and Directions
Authorized official contact:
Name: Mastrorocco, Paul OPTICIAN
Phone: (631) 553-6747

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X C0058551 New York

Profile Details

NPI number 1982721288
LBN Legal business name East Main Street Opticians Inc.
DBA Doing business as Brookhaven Opticians
Authorized official Mastrorocco, Paul OPTICIAN
Entity Organization
Organization subpart 1 No
Enumeration date Mar 23rd, 2007
Last updated Sep 17th, 2021 - about 3 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 1982721288 NPPES
New York MEDICAID 00683849

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