Organization
SOUTH FORK OPTICAL CENTER, INC.
Active
Organization
SOUTH FORK OPTICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEX TSCHUBARJAN O.D. (DOCTOR/OWNER)
(631) 728-1525
Entity
Organization
Contact information
Practice address
1 JACKSON AVE SOUTH, HAMPTON BAYS, NY 11946-2018
(631) 728-1525
(631) 728-1534
Mailing address
1 JACKSON AVE, HAMPTON BAYS, NY 11946-2018
(631) 728-1525
(631) 728-1534
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
4065
NY
Other
Enumeration date
09/27/2007
Last updated
02/26/2008
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