Provider Demographics
NPI:1154689610
Name:AMM OPTICAL INC
Entity Type:Organization
Organization Name:AMM OPTICAL INC
Other - Org Name:STERLING OPTICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:GERSHOVICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-481-2288
Mailing Address - Street 1:412 HEMPSTEAD TPKE
Mailing Address - Street 2:
Mailing Address - City:WEST HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11552-1336
Mailing Address - Country:US
Mailing Address - Phone:516-481-2288
Mailing Address - Fax:516-481-0127
Practice Address - Street 1:412 HEMPSTEAD TPKE
Practice Address - Street 2:
Practice Address - City:WEST HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11552-1336
Practice Address - Country:US
Practice Address - Phone:516-481-2288
Practice Address - Fax:516-481-0127
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-02
Last Update Date:2012-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies