Organization
CAMPOS OPTICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PABLO A CAMPOS AAS (OPTICIAN / PRESIDENT)
(631) 944-2442
Entity
Organization
Contact information
Practice address
1925 BRENTWOOD RD, INSIDE COMPARE STORE, BRENTWOOD, NY 11717-4624
(631) 873-4230
(631) 873-4229
Mailing address
1925 BRENTWOOD RD, INSIDE COMPARE STORE, BRENTWOOD, NY 11717-4624
(631) 873-4230
(631) 873-4229
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
VUT002524-1
NY
156FX1800X
Optician
Primary
C008701-1
NY
Other
Enumeration date
08/21/2008
Last updated
08/21/2008
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