Organization
BR-EYES LTD
Active
Other names
EyeSupply of Wantagh
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN FRISCHER OPHTHALMIC DISPENSER (OPTICIAN)
(516) 221-2220
Entity
Organization
Contact information
Practice address
1174A WANTAGH AVE, WANTAGH, NY 11793-2110
(516) 221-2220
(516) 221-2228
Mailing address
1174A WANTAGH AVE, WANTAGH, NY 11793-2110
(516) 221-2220
(516) 221-2228
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
T005875-1
NY
152W00000X
Optometrist
Primary
VUT004589-1
NY
152W00000X
Optometrist
VUT005770
NY
156FX1800X
Optician
6585
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5400234
GHI
NY
Enumeration date
06/09/2006
Last updated
06/12/2008
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