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Contact Information

PT JEFF OPTICAL
1092 ROUTE 112
PORT JEFFERSON STATION, NY11776
 Phone: 631-474-3937
 Fax: 631-474-3966
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optician

156FX1800X 96[5] Optician
Indicates primary specialty

NPI Profile & details for PT JEFF OPTICAL · (Female)

NPI Number 1770747321
Status Active
Credentials
Entity Individual
Enumeration date 07/14/2008
Last updated 07/14/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY License # 0081081
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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