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BROADWAY MALL EYE CARE LLC NPI 1053926683


NPI Information

NPI: 1053926683
Provider Name: BROADWAY MALL EYE CARE LLC

Doing Business As: STERLING OPTICAL

Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
358B BROADWAY MALL STE 881
HICKSVILLE, NY
ZIP 11801
Phone: (516) 938-6006
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BROADWAY MALL EYE CARE LLC is an eyewear supplier in Hicksville, NY. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. BROADWAY MALL EYE CARE LLC NPI is 1053926683. The provider is registered as an organization entity type.
The provider Is Doing Business As Sterling Optical.

The provider's business location address is:

358B BROADWAY MALL STE 881
HICKSVILLE, NY
ZIP 11801-709
Phone: (516) 938-6006

The provider's authorized official is Leonid Vayner .
The authorized official title is Owner and has the following contact phone number (917) 748-1570.

The enumeration date for this NPI number is 9/10/2020 and was last updated on 9/10/2020.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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: 5/5/2024

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