Sachem Eye Care

LBN: Pscg Optics Inc
Sachem Eye Care is an health care organization with primary practice located at 388 Hawkins Ave Suite 2, Lake Ronkonkoma NY 11779-4280. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Pscg Optics Inc can be contacted via phone (631) 588-7004, or through Gentile, Christopher via phone (631) 588-7004.

Contact Information

Primary practice address
388 Hawkins Ave Suite 2 Lake Ronkonkoma NY 11779-4280
Phone: (631) 588-7004
Fax: (631) 588-2612
Website:
Map and Directions
Authorized official contact:
Name: Gentile, Christopher Doctor of Optometry (OD)
Phone: (631) 588-7004

Health care specialties

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

Profile Details

NPI number 1780717199
LBN Legal business name Pscg Optics Inc
DBA Doing business as Sachem Eye Care
Authorized official Gentile, Christopher Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 14th, 2007
Last updated Sep 9th, 2015 - about 11 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 1780717199 NPPES
New York MEDICAID 03912503

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