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OPTHALMOLOGY ASSOC OF STATIEN ISLAND DBA BRIDGE OPTICIANS NPI 1164546610


NPI Information

NPI: 1164546610
Provider Name: OPTHALMOLOGY ASSOC OF STATIEN ISLAND DBA BRIDGE OPTICIANS

Doing Business As: BRIDGE OPTICIANS

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
1460 VICTORY BLVD
STATEN ISLAND, NY
ZIP 10301
Phone: (718) 876-5966
Get Directions

OPTHALMOLOGY ASSOC OF STATIEN ISLAND DBA BRIDGE OPTICIANS is a durable medical equipment medical supplies in Staten Island, NY. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. OPTHALMOLOGY ASSOC OF STATIEN ISLAND DBA BRIDGE OPTICIANS NPI is 1164546610. The provider is registered as an organization entity type.
The provider Is Doing Business As Bridge Opticians.

The provider's business location address is:

1460 VICTORY BLVD
STATEN ISLAND, NY
ZIP 10301-914
Phone: (718) 876-5966
Fax: (718) 876-6097

The provider's authorized official is Dennis J. Gormley .
The authorized official title is President and has the following contact phone number (718) 447-0022.

The enumeration date for this NPI number is 3/19/2007 and was last updated on 3/10/2015.


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
1332B00000XDurable Medical Equipment & Medical SuppliesNEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10658870002MEDICARE ID-TYPE UNSPECIFIEDNEW YORK
20658870002OTHERNEW YORKPTAN

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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