National Provider Identifier Database

MASSAPEQUA OPTOMETRIC CARE PC
Optometrist

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye.


Contact Information

MASSAPEQUA OPTOMETRIC CARE, P.C.
532 BROADWAY
MASSAPEQUA, NY11758
Phone: 516-798-2635
Fax: 516-798-0896
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for MASSAPEQUA OPTOMETRIC CARE, P.C.

NPI Number 1073562310
Legal business name
LBN
MASSAPEQUA OPTOMETRIC CARE, P.C.
Authorized official JOHN FACCHIN - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 05/05/2006
Last updated 08/21/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers
  • NY License #: VUT005276

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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