Marsh Optical Boutique Inc.

LBN: Marsh Optical Boutique Inc.
Marsh Optical Boutique Inc. is an health care organization with primary practice located at 18012 Union Tpke , Fresh Meadows NY 11366-1620. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Marsh Optical Boutique Inc. can be contacted via phone (718) 380-5353, or through Marsh, Wendy via phone (718) 380-5353.

Contact Information

Primary practice address
18012 Union Tpke Fresh Meadows NY 11366-1620
Phone: (718) 380-5353
Fax: (718) 380-5396
Website:
Map and Directions
Authorized official contact:
Name: Marsh, Wendy
Phone: (718) 380-5353

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4807 New York

Profile Details

NPI number 1811104375
LBN Legal business name Marsh Optical Boutique Inc.
DBA Doing business as
Authorized official Marsh, Wendy
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2007
Last updated Sep 30th, 2014 - about 11 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 1811104375 NPPES
New York MEDICAID 01449467

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