Vision Hub Of Freeport

LBN: Vision Hub Of Freeport
Vision Hub Of Freeport is an health care organization with primary practice located at 37 W Merrick Rd , Freeport NY 11520-3826. 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 / Optician is the primary health care specialty. Vision Hub Of Freeport can be contacted via phone (516) 962-9336, or through Takhalov, Boris via phone (347) 418-2730.

Contact Information

Primary practice address
37 W Merrick Rd Freeport NY 11520-3826
Phone: (516) 962-9336
Fax: (516) 962-9284
Website:
Map and Directions
Authorized official contact:
Name: Takhalov, Boris OPTICIAN
Phone: (347) 418-2730

Health care specialties

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

Profile Details

NPI number 1467164400
LBN Legal business name Vision Hub Of Freeport
DBA Doing business as
Authorized official Takhalov, Boris OPTICIAN
Entity Organization
Organization subpart 1 No
Enumeration date Dec 21st, 2022
Last updated Dec 21st, 2022 - about 3 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 1467164400 NPPES
New York MEDICAID 03962012

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