National Provider Identifier Database

LEGACY OPTICAL INC
Optician


Contact Information

LEGACY OPTICAL INC
4 SPRINGVILLE RD STE A
HAMPTON BAYS, NY11946-2290
Phone: 631-875-4544
Fax:
Website:
Specialty Taxonomy Code
* Optician 156FX1800X
Contact Lens Fitter 156FC0801X
Optometric Technician 156FX1202X

* Indicates primary specialty

NPI Profile & details for LEGACY OPTICAL INC

NPI Number 1114515467
Legal business name
LBN
LEGACY OPTICAL INC
Authorized official LISA PFLEGER - (PRESIDENT/NYS OPHTHALMIC DISPENSER)
Entity Organization
Organization subpart No
Enumeration date 01/04/2021
Last updated 01/09/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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