<Unavail>

LBN: 1038 Sb Optical Corp
<Unavail> is an health care organization with primary practice located at 1038 Southern Blvd , Bronx NY 10459-3407. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Optician. Eye and Vision Services Providers / Optometrist is the primary health care specialty. 1038 Sb Optical Corp can be contacted via phone (718) 328-7137, or through Yan, Eva via phone (718) 328-7137.

Contact Information

Primary practice address
1038 Southern Blvd Bronx NY 10459-3407
Phone: (718) 328-7137
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Yan, Eva Doctor of Optometry (OD)
Phone: (718) 328-7137

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X
Eye and Vision Services Providers / Optician 156FX1800X

Profile Details

NPI number 1942534078
LBN Legal business name 1038 Sb Optical Corp
DBA Doing business as <Unavail>
Authorized official Yan, Eva Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 22nd, 2009
Last updated Apr 16th, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942534078 NPPES
New York MEDICAID 03168967

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