Provider Demographics
NPI:1114274594
Name:R & D OPTICAL INC.
Entity Type:Organization
Organization Name:R & D OPTICAL INC.
Other - Org Name:MICHAEL'S OPTICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPTICIAN
Authorized Official - Prefix:
Authorized Official - First Name:ROMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DANYAROV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-421-3655
Mailing Address - Street 1:1153 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-8505
Mailing Address - Country:US
Mailing Address - Phone:212-421-3655
Mailing Address - Fax:
Practice Address - Street 1:1153 2ND AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-8505
Practice Address - Country:US
Practice Address - Phone:212-421-3655
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-05
Last Update Date:2012-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009166156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty