Elmhurst Optometry Corp

LBN: Elmhurst Optometry Corp
Elmhurst Optometry Corp is an health care organization with primary practice located at 10304 Roosevelt Ave , Corona NY 11368-2330. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Elmhurst Optometry Corp can be contacted via phone (718) 625-8445, or through Hourizadeh, Pezhman via phone (718) 625-8445.

Contact Information

Primary practice address
10304 Roosevelt Ave Corona NY 11368-2330
Phone: (718) 625-8445
Fax: (718) 424-1330
Website:
Map and Directions
Authorized official contact:
Name: Hourizadeh, Pezhman Doctor of Optometry (OD)
Phone: (718) 625-8445

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X TUV007045 New York

Profile Details

NPI number 1487958526
LBN Legal business name Elmhurst Optometry Corp
DBA Doing business as
Authorized official Hourizadeh, Pezhman Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 4th, 2011
Last updated Mar 30th, 2022 - 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 1487958526 NPPES
New York MEDICAID 03316685

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