Mammoth Optical in Stony Brook - Durable Medical Equipment & Medical Supplies
Mammoth Optical - NPI 1487705018
Mammoth Optical is a Durable Medical Equipment & Medical Supplies in Stony Brook, New York. Mammoth Optical practices all healthcare services and medical treatments related to Durable Medical Equipment & Medical Supplies. The NPI Number for Mammoth Optical is 1487705018. The last update date is 2020-08-22.
Mammoth Optical's current location address is 2194 Nesconset Hwy Ste A, Stony Brook, New York. You can contact this provider via phone number 6312465468 and fax number 6312465442. The mailing address for Mammoth Optical is 2194 Nesconset Hwy Ste A, Stony Brook, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mammoth Optical |
|---|---|
| Address | 2194 Nesconset Hwy Ste A, Stony Brook, New York |
| Phone Number | 6312465468 |
| Fax Number | 6312465442 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESITDENT |
|---|---|
| Authorized Official Name | Polan Neil Andrew |
| Telephone Number | 6312465468 |
NPI Number Detail
| NPI Number | 1487705018 |
|---|---|
| Provider Enumeration Date | 2007-01-12 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2194 Nesconset Hwy Ste A |
|---|---|
| City | Stony Brook |
| State | New York (NY) |
| Post Code | 117903500 |
| Phone Number | 6312465468 |
| Fax Number | 6312465442 |
Provider's Primary Taxonomy Detail
| Speciality | Durable Medical Equipment & Medical Supplies |
|---|---|
| Taxonomy | 332B00000X |
| Licence No | 6197 |
|
Definition: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1679698 | NY | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Mammoth Optical by the Centers for Medicare & Medicaid Services?
The Mammoth Optical has been issued the NPI (National Provider Identifier) 1487705018 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Mammoth Optical's physical address?
The Mammoth Optical is physically located at 2194 Nesconset Hwy Ste A, in the city of Stony Brook, NY, with the postal code 117903500.
What is Mammoth Optical's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mammoth Optical is Durable Medical Equipment & Medical Supplies, and the corresponding taxonomy classification code for this specialized field is 332B00000X.
On what date did the Mammoth Optical receive the assignment of its 1487705018 from the Centers for Medicare & Medicaid Services?
The Mammoth Optical was issued its 1487705018 by the Centers for Medicare & Medicaid Services on 2007-01-12.
As of what date were the Mammoth Optical's details last updated?
The information pertaining to the Mammoth Optical, including its address, specialty, and other details, was most recently updated on 2020-08-22.