Organization
ANNETTE OPTICAL INC
Active
Organization
ANNETTE OPTICAL INC
Active
Other names
sterling optical
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIANA GERSHOVICH (VP)
(516) 938-6006
Entity
Organization
Contact information
Practice address
881 BROADWAY MALL, HICKSVILLE, NY 11801-2712
(516) 938-6006
(516) 938-6018
Mailing address
881 BROADWAY MALL, HICKSVILLE, NY 11801-2712
(516) 938-6006
(516) 938-6018
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NY
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01630157
—
NY
01
—
A100000778
MEDICARE PTAN
NY
Enumeration date
11/16/2006
Last updated
10/06/2009
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