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PEDIATRIC EYEWEAR OF STATEN ISLAND NPI 1073852539


NPI Information

NPI: 1073852539
Provider Name: PEDIATRIC EYEWEAR OF STATEN ISLAND

Doing Business As: PEDIATRIC EYEWEAR

Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
2504 RICHMOND RD
STATEN ISLAND, NY
ZIP 10306
Phone: (718) 667-1010
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PEDIATRIC EYEWEAR OF STATEN ISLAND is an eyewear supplier in Staten Island, NY. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. PEDIATRIC EYEWEAR OF STATEN ISLAND NPI is 1073852539. The provider is registered as an organization entity type.
The provider Is Doing Business As Pediatric Eyewear.

The provider's business location address is:

2504 RICHMOND RD
STATEN ISLAND, NY
ZIP 10306-365
Phone: (718) 667-1010
Fax: (718) 667-9217

The provider's authorized official is Patrick Derespinis .
The authorized official title is Owner and has the following contact phone number (718) 667-1010.

The enumeration date for this NPI number is 2/4/2013 and was last updated on 2/4/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332H00000XEyewear SupplierYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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