Organization
SETAUKET OPTICAL
Active
Organization
SETAUKET OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANK JOSEPH POLLINA OPHTHALMIC DISPENSER (PRESIDENT)
(631) 689-0001
Entity
Organization
Contact information
Practice address
1378 ROUTE 25A, SETAUKET, NY 11733-2842
(631) 689-0001
Mailing address
1378 ROUTE 25A, SETAUKET, NY 11733-2842
(631) 689-0001
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
005336-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
940223
EYEMED LOCATION NUMBER
NY
Enumeration date
01/09/2007
Last updated
08/22/2020
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