Provider Demographics
NPI:1184012577
Name:HENRY'S OPTICAL, INC
Entity Type:Organization
Organization Name:HENRY'S OPTICAL, INC
Other - Org Name:COHEN'S FASHION OPTICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALICE
Authorized Official - Middle Name:
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-271-9100
Mailing Address - Street 1:160 WALT WHITMAN RD
Mailing Address - Street 2:SUITE 1077
Mailing Address - City:HUNTINGTON STATION
Mailing Address - State:NY
Mailing Address - Zip Code:11746-4130
Mailing Address - Country:US
Mailing Address - Phone:631-271-9100
Mailing Address - Fax:
Practice Address - Street 1:160 WALT WHITMAN RD
Practice Address - Street 2:SUITE 1077
Practice Address - City:HUNTINGTON STATION
Practice Address - State:NY
Practice Address - Zip Code:11746-4130
Practice Address - Country:US
Practice Address - Phone:631-271-9100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-07
Last Update Date:2015-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008028332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier