STATEN EYE LAND INC


Address: 20 Nelson Ave, Staten Island, NY 10308-2747
Phone: 7189485060

STATEN EYE LAND INC (NPI# 1174642532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174642532
Entity Type Organization
Organization Name STATEN EYE LAND INC
Practice Address 20 Nelson Ave
Staten Island
NY 10308-2747
Practice Telephone 7189485060
Practice Fax Number 7189671076
Mailing Telephone 7189485060
Mailing Fax Number 7189671076
Enumeration Date 2007-03-28
Last Update Date 2020-08-22
Authorized Official Name MR. ALAN FRUCHTMAN (OWNER)
Authorized Official Telephone 7189485060
Authorized Official Credential OPTICIAN
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 156FX1800X Technician/Technologist
Specialization: Optician
004036-1 NY Eye and Vision Services Providers

Office Location

Street Address 20 NELSON AVE
City STATEN ISLAND
State NY
Zip Code 10308-2747

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1881991867 Markella Zannikos Speech-Language Pathologist 423 Corbin Avenue, Staten Island, NY 10308 2011-02-28
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Taxonomy Information

Taxonomy Code 156FX1800X
Grouping Eye and Vision Services Providers
Classification Technician/Technologist
Specialization Optician

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548746811 Bryant Edward Pearson Technician/Technologist 664 Bay Street, Staten Island, NY 10304 2018-07-19
1871096768 National Vision, Inc. Technician/Technologist 2590 Hylan Blvd, Staten Island, NY 10306-4366 2018-03-16
1952845299 Specs for Less of Richmond Ave Inc Technician/Technologist 1650 Richmond Ave, Staten Island, NY 10314-1542 2016-12-06
1649652058 Visions By Victoria Rose Ltd. Technician/Technologist 639 Veterans Road West, Suite 5(e), Staten Island, NY 10309 2015-06-22
1336531995 Z Optical Technician/Technologist 278 New Dorp Ln, Staten Island, NY 10306-3048 2015-02-19
1346638434 Island Eye Optical Corp. Technician/Technologist 1500 Victory Boulevard, Staten Island, NY 10301 2014-12-26
1902219074 Mikhail Kisselev Technician/Technologist 826 Sheldon Ave, Staten Island, NY 10309-2445 2014-06-06
1780019901 Joseph A Marino Technician/Technologist 11 Trent St, Staten Island, NY 10308-3057 2013-09-06
1255616223 Anthony J Sclapani Technician/Technologist 3477 Richmond Rd, Staten Island, NY 10306-1427 2011-10-20
1508003633 B&v Optical Technician/Technologist 98 Saint Johns Ave., Staten Island, NY 10305 2009-01-12
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Competitor

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City STATEN ISLAND
Zip Code 10308

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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