Organization
NORTHPORT OPTICAL CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL TANENBAUM O.D. (PRESIDENT)
(631) 757-4440
Entity
Organization
Contact information
Practice address
834 FORT SALONGA RD, NORTHPORT, NY 11768-3157
(631) 757-4440
(631) 757-4593
Mailing address
834 FORT SALONGA RD, NORTHPORT, NY 11768-3157
(631) 757-4440
(631) 757-4593
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
TUV003407
NY
Other
Enumeration date
03/02/2006
Last updated
08/22/2020
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