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Contact Information

MAZ OPTICAL, INC
655 MONTAUK HIGHWAY
SUITE 29
EAST PATCHOGUE, NY11772
 Phone: 631-447-1300
 Fax: 631-447-1302
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Eyewear Supplier

332H00000X 87 All Other Suppliers
 

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for MAZ OPTICAL, INC

NPI Number 1316095482
LBN Legal business name MAZ OPTICAL, INC
Authorized official MARILYN PEPPERS - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 01/08/2007
Last updated 03/03/2014 - About 12 years ago
Identifiers
NY License # 5877-1
NY License # VUT003894
Other 333670 NVA
NY Other 5400044 GHI
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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