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Contact Information

STACY M KOSIK, OD
KLM OPTICAL. INC. DBA PEARLE VISION
1085 D NORTHERN BLVD
ROSLYN, NY11576
 Phone: 516-365-4066
 Fax: 516-365-9312
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for STACY M KOSIK · (Female)

NPI Number 1427048347
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 10/22/2005
Last updated 08/02/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • NY License # TUV005889-1
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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