Mirkin Vision Care

LBN: Mirkin Vision Care Pc
Mirkin Vision Care is an health care organization with primary practice located at 253 Beach 116Th St , Rockaway Park NY 11694-2102. The organization recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Suppliers / Customized Equipment, Suppliers / Eyewear Supplier (Equipment, not the service). Eye and Vision Services Providers / Optometrist is the primary health care specialty. Mirkin Vision Care Pc can be contacted via phone (718) 634-0005, or through Mirkin, Daniel S via phone (718) 634-0005.

Contact Information

Primary practice address
253 Beach 116Th St Rockaway Park NY 11694-2102
Fax: (718) 474-2003
Website:
Authorized official contact:
Name: Mirkin, Daniel S Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 004688 New York
Suppliers / Customized Equipment 332BC3200X VUT004688 New York
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X VUT004688 New York

Profile Details

NPI number 1417920042
LBN Legal business name Mirkin Vision Care Pc
DBA Doing business as Mirkin Vision Care
Authorized official Mirkin, Daniel S Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 13th, 2006
Last updated Mar 29th, 2010 - about 14 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 1417920042 NPPES
New York MEDICAID 01126778

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