South Country Opticians INC
Technician/Technologist, Optician in Patchogue, NY. Organization (NPI-2).
NPI number1679645238
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1679645238
- Entity type
- Organization (NPI-2)
- Legal business name
- South Country Opticians INC
- Organization subpart
- No
- Enumeration date
- Nov 15, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156FX1800X | Technician/Technologist, Optician | 003345 | NY | Yes |
| 156FX1800X | Technician/Technologist, Optician | 004170 | NY |
Practice location
331 E Main StSuite 3
Patchogue, NY 11772-3114
Phone 631-758-4466 · Fax 631-758-4467
Mailing address
331 E Main StSuite 3
Patchogue, NY 11772-3114
Phone 631-758-4466 · Fax 631-758-4467
Authorized official
Edward Leonard Rzemieniewski
Owner Vp Sec
6317584466
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