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Contact Information

PT JEFF OPTICAL
1092 ROUTE 112
PORT JEFFERSON STATION, NY11776
 Phone: 631-474-3937
 Fax: 631-474-3966
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optician

156FX1800X 96[5] Optician
Indicates primary specialty

NPI Profile & details for PT JEFF OPTICAL

NPI Number 1770747321
LBN Legal business name PT JEFF OPTICAL
Authorized official LARRY FRANKEL - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/14/2008
Last updated 07/14/2008 - About 18 years ago
Identifiers
NY License # 0081081
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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