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Contact Information

MJD OPTICAL CORP
1053 ROUTE 58 ROANOKE AVE
RIVERHEAD, NY11901
 Phone: 631-727-7777
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for MJD OPTICAL CORP

NPI # 1922569136
LBN Legal business name MJD OPTICAL CORP
Authorized official ROSS DEVORE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/29/2019
Last updated 03/29/2019 - About 7 years ago
Identifiers n/a
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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