SOUTH FORK OPTICAL CENTER, INC. (NPI# 1891982476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891982476 |
| Entity Type | Organization |
| Organization Name | SOUTH FORK OPTICAL CENTER, INC. |
| Practice Address |
1 Jackson Ave South Hampton Bays NY 11946-2018 |
| Mailing Address |
1 Jackson Ave Hampton Bays NY 11946-2018 |
| Practice Telephone | 6317281525 |
| Practice Fax Number | 6317281534 |
| Mailing Telephone | 6317281525 |
| Mailing Fax Number | 6317281534 |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2008-02-26 |
| Authorized Official Name | DR. ALEX TSCHUBARJAN (DOCTOR/OWNER) |
| Authorized Official Telephone | 6317281525 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | 4065 | NY | Suppliers |
| Street Address |
1 JACKSON AVE SOUTH |
| City | HAMPTON BAYS |
| State | NY |
| Zip Code | 11946-2018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043351968 | Alex Tschubarjan | Optometrist | 1 Jackson Ave South, Hampton Bays, NY 11946-2018 | 2007-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093349029 | Martha Danielle Belesis | Social Worker | 6 East Canal Ct, Hampton Bays, NY 11946 | 2020-02-28 |
| 1568005270 | Robert Joseph Whelan | Massage Therapist | 1 Roberta Court, Hampton Bays, NY 11946 | 2019-10-25 |
| 1912569286 | Patrick P Reilly | Physical Therapy Assistant | 51 Fanning Ave, Hampton Bays, NY 11946 | 2019-07-08 |
| 1376073908 | Town of Southampton | Clinic/Center | 25 Ponquogue Ave, Hampton Bays, NY 11946 | 2017-06-15 |
| 1932647229 | Deena Lippman | Registered Nurse | 7 Debbie Trail, Hampton Bays, NY 11946 | 2017-02-07 |
| 1285176768 | Brian Jake Meringola | Physical Therapist | 13 Higbee Road, Hampton Bays, NY 11946 | 2016-11-15 |
| 1023564390 | Rehan Khalik | Pharmacist | 50 E Montauk Highway, Hampton Bays, NY 11946 | 2016-08-28 |
| 1164822680 | Robert Eugene Miller | Surgery | 1 Peconic Overlook, Hampton Bays, NY 11946 | 2014-09-03 |
| 1255674214 | Lynden Ishmael Watson | Nurse's Aide | 32 Lamplight Cir, Hampton Bays, NY 11946 | 2013-03-28 |
| 1073866570 | Barbara Jeanne Bendowski | Nurse Practitioner | 145 West Montauk Highway, Hampton Bays, NY 11946 | 2012-10-22 |
| Find all providers in zip 11946 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982202495 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 339 Gateway Dr, Brooklyn, NY 11239-2805 | 2020-10-16 |
| 1386242360 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 184 W 237th St, Bronx, NY 10463-4102 | 2020-10-13 |
| 1740888718 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 40 Graham Rd W, Ithaca, NY 14850-1055 | 2020-10-13 |
| 1619575578 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 900 Remsen Ave, Canarsie, NY 11236 | 2020-10-13 |
| 1831797828 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 790 S Sunrise Hwy, Bellport, NY 11713-1557 | 2020-10-13 |
| 1407454481 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 1900 The Arches Cir, Deer Park, NY 11729-7075 | 2020-10-13 |
| 1265030126 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 820-825 Pelham Pkwy, Pelham Manor, NY 10803 | 2020-10-13 |
| 1265030357 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 607 Old Country Rd, Riverhead, NY 11901-2103 | 2020-10-12 |
| 1356949598 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 1752 Shore Pkwy, Brooklyn, NY 11214-6561 | 2020-10-10 |
| 1033717277 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 300 Bellwood Dr, Rochester, NY 14606-4262 | 2020-10-10 |
| Find all providers with the same taxonomy | ||||
| City | HAMPTON BAYS |
| Zip Code | 11946 |
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| 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.