Provider Demographics
NPI:1225448392
Name:JULIA OPTICAL
Entity Type:Organization
Organization Name:JULIA OPTICAL
Other - Org Name:STERLING OPTICAL #368
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:
Authorized Official - Last Name:KOGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-628-8886
Mailing Address - Street 1:1125 LEXINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10075-0429
Mailing Address - Country:US
Mailing Address - Phone:212-628-8886
Mailing Address - Fax:212-452-2860
Practice Address - Street 1:1125 LEXINGTON AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10075-0429
Practice Address - Country:US
Practice Address - Phone:212-628-8886
Practice Address - Fax:212-452-2860
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-29
Last Update Date:2014-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier