Organization
EAST MAIN STREET OPTICIANS INC.
Active
Organization
EAST MAIN STREET OPTICIANS INC.
Active
Other names
Brookhaven Opticians
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL MASTROROCCO OPTICIAN (PRESIDENT OPTICIAN)
(631) 553-6747
Entity
Organization
Contact information
Practice address
180 E MAIN ST STE 4, PATCHOGUE, NY 11772-3171
(631) 475-5030
(631) 475-5037
Mailing address
180 EAST MAIN STREET, SUITE 4, PATCHOGUE, NY 11772
(631) 475-5030
(631) 475-5037
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
C0058551
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00683849
—
NY
Enumeration date
03/23/2007
Last updated
09/17/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up