BR-Eyes LTD
Organization Active NPI Optometrist · Wantagh, NY
NPI 1992746358 · NPPES record last updated Jun 12, 2008
Key facts
- NPI
- 1992746358
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- VUT004589-1 (NY)
- Legal business name
- BR-EYES LTD
- Practice address
- 1174A Wantagh Ave
Wantagh, NY 11793-2110 - Phone
- (516) 221-2220
- Fax
- (516) 221-2228
- NPI assigned
- Jun 9, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Brian Frischer, OPHTHALMIC DISPENSER
- Title
- Optician
- Phone
- (516) 221-2220
Practitioners 1
-
Brian Jay Frischer, OPTICIAN
National Provider Directory
Locations
1229 Wantagh Ave
Wantagh, NY 11793
Phone (516) 221-2220
1174 Wantagh Ave
Unit A
Wantagh, NY 11793
Phone (516) 221-2220
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | VUT004589-1 | NY | Yes |
| Optometrist |
152W00000X | VUT005770 | NY | |
| Optometrist |
152W00000X | T005875-1 | NY | |
| Optician |
156FX1800X | 6585 | NY |
Addresses
Primary practice location
1174A Wantagh Ave
Wantagh, NY 11793-2110
Mailing address
1174A Wantagh Ave
Wantagh, NY 11793-2110
Phone (516) 221-2220
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5400234 | Other | NY | GHI |
Other names
- EyeSupply of Wantagh
Other providers in Wantagh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.