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Contact Information

TWIN FORKS OPTOMETRY, PLLC
25 CRANBERRY STREET
RIVERHEAD, NY11901
 Phone: 631-740-9384
 Fax: 631-740-9385
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Corneal and Contact Management

152WC0802X 41 Optometry
 

Pediatrics

152WP0200X 41 Optometry
 

Vision Therapy

152WV0400X 41 Optometry
Indicates primary specialty

NPI Profile & details for TWIN FORKS OPTOMETRY, PLLC

NPI # 1699155549
LBN Legal business name TWIN FORKS OPTOMETRY, PLLC
Authorized official JESSICA FULMER - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/05/2015
Last updated 09/16/2015 - About 11 years ago
Identifiers
NY License # 007991
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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