Opticana Ny

LBN: Mda Management Inc
Opticana Ny is an health care organization with primary practice located at 4526 Broadway , New York NY 10040-2404. 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. Mda Management Inc can be contacted via phone (212) 304-3585, or through Saperson, Luidmila via phone (212) 304-3585.

Contact Information

Primary practice address
4526 Broadway New York NY 10040-2404
Phone: (212) 304-3585
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Saperson, Luidmila
Phone: (212) 304-3585

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X TUV 006977 New York
Eye and Vision Services Providers / Optician 156FX1800X 007305-1 New York

Profile Details

NPI number 1528116282
LBN Legal business name Mda Management Inc
DBA Doing business as Opticana Ny
Authorized official Saperson, Luidmila
Entity Organization
Organization subpart 1 No
Enumeration date Jan 8th, 2007
Last updated Aug 22nd, 2020 - about 6 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 1528116282 NPPES
New York MEDICAID 02826259

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