Provider Demographics
NPI:1235223371
Name:WHITEPOINT OPTIQUE,INC
Entity Type:Organization
Organization Name:WHITEPOINT OPTIQUE,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESEDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:VLADIMIR
Authorized Official - Middle Name:
Authorized Official - Last Name:BASH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-357-4511
Mailing Address - Street 1:132-04 14 TH AVE.
Mailing Address - Street 2:
Mailing Address - City:COLLEGE POINT
Mailing Address - State:NY
Mailing Address - Zip Code:11356-2001
Mailing Address - Country:US
Mailing Address - Phone:718-357-4511
Mailing Address - Fax:
Practice Address - Street 1:13207 14TH AVE
Practice Address - Street 2:
Practice Address - City:COLLEGE POINT
Practice Address - State:NY
Practice Address - Zip Code:11356-2001
Practice Address - Country:US
Practice Address - Phone:718-357-4511
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008502156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYNY 4302OtherEYEMED
NY49779OtherDAVIS VISION
NY973 NOtherNATIONAL OPTIAL SERVICES
NY973 NOtherNATIONAL OPTIAL SERVICES
NYNY 4302OtherEYEMED