86TH STREET OPTICAL INC.; NPI #1659586923

Contact Information

86TH STREET OPTICAL INC.

414 86TH STREET
BROOKLYN, NY 11209

Phone: 718-833-2320
Fax: 718-833-1194
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Optician	156FX1800X	96[5]	Optician

Indicates primary specialty

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NPI Profile & details for 86TH STREET OPTICAL INC.

NPI Number 1659586923

LBN Legal business name 86TH STREET OPTICAL INC.

Authorized official CHRIS AMORELLO - (OPTICIAN)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/11/2007

Last updated 06/04/2009 - About 17 years ago

Identifiers

NY	License #	004723
NY	Medicaid	01638128

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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