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Contact Information

LEGACY OPTICAL INC
4 SPRINGVILLE RD STE A
HAMPTON BAYS, NY11946-2290
 Phone: 631-875-4544
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optician

156FX1800X 96[5] Optician
 

Contact Lens Fitter

156FC0801X
 

Optometric Technician

156FX1202X
Indicates primary specialty

NPI Profile & details for LEGACY OPTICAL INC

NPI Number 1114515467
LBN Legal business name LEGACY OPTICAL INC
Authorized official LISA PFLEGER - (PRESIDENT/NYS OPHTHALMIC DISPENSER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/04/2021
Last updated 01/09/2021 - About 5 years ago
Identifiers n/a
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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