National Provider Identifier Database

86TH STREET OPTICAL INC
Optician


Contact Information

86TH STREET OPTICAL INC.
414 86TH STREET
BROOKLYN, NY11209
Phone: 718-833-2320
Fax: 718-833-1194
Website:
Specialty Taxonomy Code
* Optician 156FX1800X

* Indicates primary specialty

NPI Profile & details for 86TH STREET OPTICAL INC.

NPI Number 1659586923
Legal business name
LBN
86TH STREET OPTICAL INC.
Authorized official CHRIS AMORELLO - (OPTICIAN)
Entity Organization
Organization subpart No
Enumeration date 05/11/2007
Last updated 06/04/2009 - About 17 years ago
Sole proprietor1 Not specified
Identifiers
  • NY License #: 004723
  • NY Medicaid: 01638128

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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