Creston Optical

LBN: Midcrest Optical Corporation
Creston Optical is an health care organization with primary practice located at 897 8Th Ave , New York NY 10019-5154. The organization recently has 8 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Sports Vision, Eye and Vision Services Providers / Occupational Vision, Eye and Vision Services Providers / Contact Lens Fitter, Eye and Vision Services Providers / Optician, Suppliers / Durable Medical Equipment & Medical Supplies. Eye and Vision Services Providers / Optometrist is the primary health care specialty. Midcrest Optical Corporation can be contacted via phone (212) 582-5926, or through Berger, Douglas via phone (212) 582-5926.

Contact Information

Primary practice address
897 8Th Ave New York NY 10019-5154
Fax:
Website:
Authorized official contact:
Name: Berger, Douglas

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X VUT002933-1 New York
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X VUT002933-1 New York
Eye and Vision Services Providers / Pediatrics 152WP0200X VUT002933-1 New York
Eye and Vision Services Providers / Sports Vision 152WS0006X VUT002933-1 New York
Eye and Vision Services Providers / Occupational Vision 152WX0102X VUT002933-1 New York
Eye and Vision Services Providers / Contact Lens Fitter 156FC0801X 5104-1 New York
Eye and Vision Services Providers / Optician 156FX1800X 005104-1 New York
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X C005104-1 New York

Profile Details

NPI number 1982805750
LBN Legal business name Midcrest Optical Corporation
DBA Doing business as Creston Optical
Authorized official Berger, Douglas
Entity Organization
Organization subpart 1 No
Enumeration date May 30th, 2007
Last updated Oct 10th, 2011 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1982805750 NPPES
New York MEDICAID 00328267

Popular Providers