Organization
DIGITAL OPTIKS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SURESH SANPAUL (OPTICIAN)
(718) 297-2997
Entity
Organization
Contact information
Practice address
18116 HILLSIDE AVE, JAMAICA, NY 11432-4852
(718) 297-2997
(718) 880-9849
Mailing address
9065 180TH ST, JAMAICA, NY 11432-5612
(718) 297-2997
(718) 880-9849
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
152WP0200X
Pediatric Optometrist
—
—
156FX1800X
Optician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
5810
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03978205
—
NY
Enumeration date
11/04/2014
Last updated
07/29/2024
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