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BURNSIDE OPTICAL INC. NPI 1568530079


NPI Information

NPI: 1568530079
Provider Name: BURNSIDE OPTICAL INC.
Classification: Technician/Technologist - 156FX1800X
Entity Type: Organization

Specialization: Optician

Address:
54 W BURNSIDE AVE
BRONX, NY
ZIP 10453
Phone: (718) 299-5454
Get Directions

BURNSIDE OPTICAL INC. is an optician technician technologist in Bronx, NY. The provider is opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy. BURNSIDE OPTICAL INC. NPI is 1568530079. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

54 W BURNSIDE AVE
BRONX, NY
ZIP 10453-018
Phone: (718) 299-5454
Fax: (718) 299-0770

The provider's authorized official is Guillermo Ysmael Reyes .
The authorized official title is President and has the following contact phone number (718) 299-5454.

The enumeration date for this NPI number is 12/1/2006 and was last updated on 3/5/2012.


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
1156FX1800XTechnician/TechnologistOptician0073791NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
101956270MEDICAIDNEW YORK

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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