Organization
OPTICAL FACTORY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANE SANTACROCE (SECRETARY)
(631) 351-4900
Entity
Organization
Contact information
Practice address
2090B HILLSIDE AVE, NEW HYDE PARK, NY 11040-2613
(516) 358-4040
(516) 358-7465
Mailing address
2090B HILLSIDE AVE, NEW HYDE PARK, NY 11040-2613
(516) 358-4040
(516) 358-7465
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
156FX1800X
Optician
—
—
Other
Enumeration date
01/26/2007
Last updated
11/03/2008
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