Provider Demographics
NPI:1194212340
Name:INSIGHT OPTIKS INC.
Entity Type:Organization
Organization Name:INSIGHT OPTIKS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:IOSIF
Authorized Official - Middle Name:
Authorized Official - Last Name:IFRAIMOV
Authorized Official - Suffix:
Authorized Official - Credentials:OPTICIAN
Authorized Official - Phone:516-792-5656
Mailing Address - Street 1:482 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:CEDARHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11516-2007
Mailing Address - Country:US
Mailing Address - Phone:516-792-5656
Mailing Address - Fax:
Practice Address - Street 1:482 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:CEDARHURST
Practice Address - State:NY
Practice Address - Zip Code:11516-2007
Practice Address - Country:US
Practice Address - Phone:516-792-5656
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-13
Last Update Date:2018-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009518-1156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1902304207OtherINDIVIDUAL NPI