Organization
EYEGLASS DEPOT OPTICAL
Active
Organization
EYEGLASS DEPOT OPTICAL
Active
Parent organization
DIFFER PARTNERS, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIFFER PARTNERS, LLC
Authorized official
DEENA FELDMAN (VICE PRESIDENT)
(631) 777-7283
Entity
Organization
Contact information
Practice address
60 WILLOW PARK CTR, FARMINGDALE, NY 11735-1001
(631) 777-7283
(631) 777-3329
Mailing address
60 WILLOW PARK CTR, FARMINGDALE, NY 11735-1001
(631) 777-7283
(631) 777-3329
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
12/13/2011
Last updated
12/13/2011
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