Optical Shop Of Deer Park Inc

LBN: Optical Shop Of Deer Park Inc
Optical Shop Of Deer Park Inc is an health care organization with primary practice located at 415 Commack Rd Ste 2B , Deer Park NY 11729-4508. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Suppliers / Eyewear Supplier (Equipment, not the service). Suppliers / Eyewear Supplier (Equipment, not the service) is the primary health care specialty. Optical Shop Of Deer Park Inc can be contacted via phone (631) 392-0711, or through Gladstein, Leonid via phone (917) 887-8872.

Contact Information

Primary practice address
415 Commack Rd Ste 2B Deer Park NY 11729-4508
Phone: (631) 392-0711
Fax: (631) 392-0752
Website:
Map and Directions
Authorized official contact:
Name: Gladstein, Leonid
Phone: (917) 887-8872

Health care specialties

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

Profile Details

NPI number 1386101632
LBN Legal business name Optical Shop Of Deer Park Inc
DBA Doing business as
Authorized official Gladstein, Leonid
Entity Organization
Organization subpart 1 No
Enumeration date Feb 22nd, 2019
Last updated Jul 2nd, 2019 - about 5 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

Popular Providers