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Contact Information

MASSAPEQUA OPTOMETRIC CARE, P.C.
532 BROADWAY
MASSAPEQUA, NY11758
 Phone: 516-798-2635
 Fax: 516-798-0896
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

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

NPI Number 1073562310
LBN Legal business name MASSAPEQUA OPTOMETRIC CARE, P.C.
Authorized official JOHN FACCHIN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/05/2006
Last updated 08/21/2019 - About 7 years ago
Identifiers
NY License # VUT005276
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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