Grace Optical

LBN: Grace Optical
Grace Optical is an health care organization with primary practice located at 3409 Jerome Ave , Bronx NY 10467-1049. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Grace Optical can be contacted via phone (718) 231-9000, or through Yoon, Jiyoung via phone (718) 231-9000.

Contact Information

Primary practice address
3409 Jerome Ave Bronx NY 10467-1049
Phone: (718) 231-9000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Yoon, Jiyoung Doctor of Optometry (OD)
Phone: (718) 231-9000

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 006830 New York

Profile Details

NPI number 1114996840
LBN Legal business name Grace Optical
DBA Doing business as
Authorized official Yoon, Jiyoung Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 15th, 2006
Last updated Jun 6th, 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 1114996840 NPPES
New York MEDICAID 00327000

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