Mineola Optical Boutique Inc in Mineola - Eyewear Supplier
Mineola Optical Boutique Inc - NPI 1780720748
Mineola Optical Boutique Inc is a Eyewear Supplier in Mineola, New York. Mineola Optical Boutique Inc practices all healthcare services and medical treatments related to Eyewear Supplier. The NPI Number for Mineola Optical Boutique Inc is 1780720748. The last update date is 2020-08-22.
Mineola Optical Boutique Inc's current location address is 330 Old Country Rd, Mineola, New York. You can contact this provider via phone number 5162485554 and fax number 5167396620. The mailing address for Mineola Optical Boutique Inc is 330 Old Country Rd, Mineola, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mineola Optical Boutique Inc |
|---|---|
| Address | 330 Old Country Rd, Mineola, New York |
| Phone Number | 5162485554 |
| Fax Number | 5167396620 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER |
|---|---|
| Authorized Official Name | Bacotti A. Peter |
| Credentials | OPHTHALMIC |
| Telephone Number | 5162485554 |
NPI Number Detail
| NPI Number | 1780720748 |
|---|---|
| Provider Enumeration Date | 2007-01-29 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 330 Old Country Rd |
|---|---|
| City | Mineola |
| State | New York (NY) |
| Post Code | 115014187 |
| Phone Number | 5162485554 |
| Fax Number | 5167396620 |
Provider's Primary Taxonomy Detail
| Speciality | Eyewear Supplier |
|---|---|
| Taxonomy | 332H00000X |
| Licence No | 3126 |
|
Definition: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
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What is the Mineola Optical Boutique Inc's 1780720748?
The Mineola Optical Boutique Inc's NPI (National Provider Identifier) Number is 1780720748. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Mineola Optical Boutique Inc's facilities are situated?
The facilities of Mineola Optical Boutique Inc are physically located at the following address: 330 Old Country Rd, Mineola, NY, 115014187.
What is the Mineola Optical Boutique Inc's specialty and taxonomy code?
The Mineola Optical Boutique Inc's specialty is Eyewear Supplier, and the corresponding taxonomy code is 332H00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1780720748 to Mineola Optical Boutique Inc?
The Mineola Optical Boutique Inc received its 1780720748 assignment from the Centers for Medicare & Medicaid Services on 2007-01-29.
As of what date were the details related to Mineola Optical Boutique Inc most recently updated or revised?
The information pertaining to Mineola Optical Boutique Inc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
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