Wiggs Opricians

LBN: Stony Brook Opticians Inc
Wiggs Opricians is an health care organization with primary practice located at 125 Main St , Stony Brook NY 11790-1911. The organization recently has only one registered license in Suppliers / Eyewear Supplier (Equipment, not the service), which is considered as the primary health care specialty. Stony Brook Opticians Inc can be contacted via phone (631) 751-2801, or through Mastrorocco, Paul via phone (631) 553-6747.

Contact Information

Primary practice address
125 Main St Stony Brook NY 11790-1911
Fax: (631) 751-2801
Website:
Authorized official contact:
Name: Mastrorocco, Paul

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X 5855-1 New York

Profile Details

NPI number 1588994651
LBN Legal business name Stony Brook Opticians Inc
DBA Doing business as Wiggs Opricians
Authorized official Mastrorocco, Paul
Entity Organization
Organization subpart 1 No
Enumeration date Jan 12th, 2010
Last updated Sep 17th, 2021 - about 3 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 1588994651 NPPES
New York MEDICAID 03292940

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