| NPI | 1497116321 |
|---|---|
| Doing Business As | THE LITTLE OPTICAL ON BROADWAY |
| Entity Type | Organization |
| Authorized Contact | JOHNNY COATS President 631-575-1531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1100X Technician/Technologist, Ophthalmic (Licence: NY 55009230) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY 55009230) |
| 156FC0800X Technician/Technologist, Contact Lens (Licence: NY 55009230) | |
| 156FC0801X Technician/Technologist, Contact Lens Fitter (Licence: NY 55009230) | |
| 156FX1800X Technician/Technologist, Optician (Licence: NY 55009230) | |
| 305S00000X Point of Service (Licence: NY 55009230) | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 66009230) | |
| 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: NY 55009230) | |
| Enumeration Date | 2016-03-20 |
| Last Update Date | 2016-03-20 |