Organization
STONY BROOK OPTICIANS INC
Active
Organization
STONY BROOK OPTICIANS INC
Active
Other names
Wiggs Opricians
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL MASTROROCCO (PRESIDENT/OPTICIAN)
(631) 553-6747
Entity
Organization
Contact information
Practice address
125 MAIN ST, STONY BROOK, NY 11790-1911
(631) 751-2801
(631) 751-2801
Mailing address
125 MAIN ST, STONY BROOK, NY 11790-1911
(631) 751-2801
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
5855-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03292940
—
NY
Enumeration date
01/12/2010
Last updated
09/17/2021
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