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SUNRISE OPTICAL CORP NPI 1104244847


NPI Information

NPI: 1104244847
Provider Name: SUNRISE OPTICAL CORP
Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
2210 SUNRISE MALL
MASSAPEQUA, NY
ZIP 11758
Phone: (516) 795-2112
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SUNRISE OPTICAL CORP is an eyewear supplier in Massapequa, NY. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. SUNRISE OPTICAL CORP NPI is 1104244847. The provider is registered as an organization entity type.

The provider's business location address is:

2210 SUNRISE MALL
MASSAPEQUA, NY
ZIP 11758-348
Phone: (516) 795-2112
Fax: (516) 795-2167

The provider's authorized official is Laura Valentin .
The authorized official title is Credentialing Manager and has the following contact phone number (212) 792-8149.

The enumeration date for this NPI number is 3/31/2014 and was last updated on 6/18/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332H00000XEyewear SupplierYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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