Organization
MAIN PLACE OPTICAL INC.
Active
Organization
MAIN PLACE OPTICAL INC.
Active
Other names
Sterling Optical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS OSIAK (PRESIDENT)
(716) 852-7572
Entity
Organization
Contact information
Practice address
390 MAIN ST # 350, MAIN PLACE MALL, BUFFALO, NY 14202-3702
(716) 852-7572
(716) 854-0954
Mailing address
390 -350 MAIN ST, MAIN PLACE MALL, BUFFALO, NY 14202-3750
(716) 852-7572
(716) 854-0954
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
VUT005065
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00011208601
UNIVERA
NY
01
—
000300100005
BCBS
NY
05
—
01561797
—
NY
01
—
08697
SPECTERA
NY
01
—
30174
DAVIS/FIDELIS
NY
01
—
NY2984
EYE MED
NY
01
—
NY5065
COLE
NY
Enumeration date
11/13/2006
Last updated
04/20/2008
Update your record
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