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Contact Information

DESIGNER OPTICAL CENTER
8028 COOPER AVE. SUITE #6-106
GLENDALE, NY11378
 Phone: 718-738-9888
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optician

156FX1800X 96[5] Optician
Indicates primary specialty

NPI Profile & details for DESIGNER OPTICAL CENTER

NPI Number 1114453388
LBN Legal business name DESIGNER OPTICAL CENTER
Authorized official SOLOMON MATATOV - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/10/2017
Last updated 05/10/2017 - About 9 years ago
Identifiers
NY License # 0073681
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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