Organization · Type 2 NPI

Optical Shop of Deer Park Inc

Eyewear Supplier · Deer Park, NY

NPI number 1386101632 Active

Practice location

415 Commack Rd Ste 2B
Deer Park, NY 11729-4508

Fax (631) 392-0752

Specialties and licenses

TaxonomyCodeLicense
Optometrist 152W00000XNone listed
Eyewear Supplier Primary 332H00000XNone listed

Eyewear Supplier: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

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About NPI 1386101632

Optical Shop of Deer Park Inc's National Provider Identifier is 1386101632, issued on Feb 22, 2019. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Deer Park, NY. The record was last updated on Jul 2, 2019.