South Park Optical, Inc.

LBN: South Park Optical, Inc.
South Park Optical, Inc. is an health care organization with primary practice located at 3861 S Park Ave , Blasdell NY 14219-1813. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optician, Suppliers / Eyewear Supplier (Equipment, not the service). Suppliers / Eyewear Supplier (Equipment, not the service) is the primary health care specialty. South Park Optical, Inc. can be contacted via phone (716) 823-6093, or through Beiter, James Gordon via phone (716) 823-6093.

Contact Information

Primary practice address
3861 S Park Ave Blasdell NY 14219-1813
Phone: (716) 823-6093
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Beiter, James Gordon
Phone: (716) 823-6093

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X C-5093-1 New York
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X 5093 New York

Profile Details

NPI number 1700974946
LBN Legal business name South Park Optical, Inc.
DBA Doing business as
Authorized official Beiter, James Gordon
Entity Organization
Organization subpart 1 No
Enumeration date Oct 11th, 2006
Last updated Dec 5th, 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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