Davidoff Optical Center Corp.

LBN: Davidoff Optical Center Corp.
Davidoff Optical Center Corp. is an health care organization with primary practice located at 9309 63Rd Dr , Rego Park NY 11374-2924. The organization recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as the primary health care specialty. Davidoff Optical Center Corp. can be contacted via phone (718) 275-0955, or through Davidov, Jacob via phone (718) 275-0955.

Contact Information

Primary practice address
9309 63Rd Dr Rego Park NY 11374-2924
Phone: (718) 275-0955
Fax: (718) 275-3725
Website:
Map and Directions
Authorized official contact:
Name: Davidov, Jacob OPTICIAN
Phone: (718) 275-0955

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 6154-1 New York

Profile Details

NPI number 1871761478
LBN Legal business name Davidoff Optical Center Corp.
DBA Doing business as
Authorized official Davidov, Jacob OPTICIAN
Entity Organization
Organization subpart 1 No
Enumeration date Feb 15th, 2008
Last updated Feb 15th, 2008 - about 18 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 1871761478 NPPES
New York MEDICAID 01463767

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