Provider Demographics
NPI:1043390966
Name:HOWARD OPTICIANS, LTD.
Entity Type:Organization
Organization Name:HOWARD OPTICIANS, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:BRAUNSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:OPHTHALMIC DISPENSER
Authorized Official - Phone:516-561-8545
Mailing Address - Street 1:54 S CENTRAL AVE
Mailing Address - Street 2:HOWARD OPTICIANS, LTD.
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11580-5415
Mailing Address - Country:US
Mailing Address - Phone:516-561-8545
Mailing Address - Fax:
Practice Address - Street 1:54 S CENTRAL AVE
Practice Address - Street 2:HOWARD OPTICIANS, LTD.
Practice Address - City:VALLEY STREAM
Practice Address - State:NY
Practice Address - Zip Code:11580-5415
Practice Address - Country:US
Practice Address - Phone:516-561-8545
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY5112332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01619429Medicaid
NY0870140001Medicare ID - Type UnspecifiedPROVIDER/CLINIC NUMBER