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
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