Organization
MAMMOTH OPTICAL
Active
Organization
MAMMOTH OPTICAL
Active
Other names
stony brook vision world
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW NEIL POLAN (PRESITDENT)
(631) 246-5468
Entity
Organization
Contact information
Practice address
2194 NESCONSET HWY STE A, STONY BROOK, NY 11790-3500
(631) 246-5468
(631) 246-5442
Mailing address
2194 NESCONSET HWY STE A, STONY BROOK, NY 11790-3500
(631) 246-5468
(631) 246-5442
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
6197
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01679698
—
NY
Enumeration date
01/12/2007
Last updated
08/22/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up