Main Street Optical

LBN: Main Street Optical
Main Street Optical is an health care organization with primary practice located at 1 N Main St 549, Honeoye Falls NY 14472-1013. 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. Main Street Optical can be contacted via phone (585) 624-2122, or through Kissack, Barry T via phone (585) 624-2122.

Contact Information

Primary practice address
1 N Main St 549 Honeoye Falls NY 14472-1013
Phone: (585) 624-2122
Fax: (585) 624-2122
Website:
Map and Directions
Authorized official contact:
Name: Kissack, Barry T Doctor of Optometry (OD)
Phone: (585) 624-2122

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X 004875 New York

Profile Details

NPI number 1811164882
LBN Legal business name Main Street Optical
DBA Doing business as
Authorized official Kissack, Barry T Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date May 9th, 2008
Last updated May 9th, 2008 - about 17 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 1811164882 NPPES
New York MEDICAID 31783B
New York Other 8788
New York Other 100162

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