Organization
NORTH FORK OPTICAL CENTER, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID H EILBERT OD (SECRETARY)
(631) 298-9555
Entity
Organization
Contact information
Practice address
10095 MAIN RD, MATTITUCK, NY 11952-0995
(631) 298-9555
(631) 298-9556
Mailing address
P.O. BOX 1419, MATTITUCK, NY 11952-0995
(631) 298-9555
(631) 298-9556
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
TU003815
NY
Other
Enumeration date
08/16/2007
Last updated
12/03/2009
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