Organization
LEGACY OPTICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA R PFLEGER ABOC (PRESIDENT/NYS OPHTHALMIC DISPENSER)
(631) 728-3132
Entity
Organization
Contact information
Practice address
4 SPRINGVILLE RD STE A, HAMPTON BAYS, NY 11946-2290
(631) 875-4544
Mailing address
4 SPRINGVILLE RD STE A, HAMPTON BAYS, NY 11946-2290
(631) 875-4544
Taxonomy
Speciality
Code
Description
License number
State
156FC0801X
Contact Lens Fitter
—
—
156FX1202X
Optometric Technician
—
—
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
01/04/2021
Last updated
01/09/2021
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