South Shore Opticians Inc

LBN: South Shore Opticians Inc
South Shore Opticians Inc is an health care organization with primary practice located at 1033 Green Acres Mall , Valley Stream NY 11581. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Optician. Eye and Vision Services Providers / Optometrist is the primary health care specialty. South Shore Opticians Inc can be contacted via phone (516) 825-8990, or through Thompson, Marvea via phone (516) 825-8990.

Contact Information

Primary practice address
1033 Green Acres Mall Valley Stream NY 11581
Phone: (516) 825-8990
Fax: (516) 872-2702
Website:
Map and Directions
Authorized official contact:
Name: Thompson, Marvea OPTICIAN
Phone: (516) 825-8990

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X T024291 New York
Eye and Vision Services Providers / Optometrist 152W00000X TUV005493 New York
Eye and Vision Services Providers / Optician 156FX1800X 0043021 New York
Eye and Vision Services Providers / Optician 156FX1800X 0037511 New York

Profile Details

NPI number 1023041589
LBN Legal business name South Shore Opticians Inc
DBA Doing business as
Authorized official Thompson, Marvea OPTICIAN
Entity Organization
Organization subpart 1 No
Enumeration date Jul 8th, 2006
Last updated Jan 30th, 2012 - about 12 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 1023041589 NPPES
New York MEDICAID 01016646

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