Organization
SUTPHIN OPTOMETRY PC
Active
Other names
Sutphin Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARSHAD HAIIMPOUR OD (DOCTOR)
(718) 739-8939
Entity
Organization
Contact information
Practice address
8914 SUTPHIN BLVD, JAMAICA, NY 11435-3715
(718) 739-8939
(718) 739-2755
Mailing address
8914 SUTPHIN BLVD, JAMAICA, NY 11435-3715
(718) 739-8939
(718) 739-2755
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
76754121
AETNA
NY
01
—
P2141131
OXFORD
NY
Enumeration date
11/14/2006
Last updated
08/29/2013
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