Provider Demographics
NPI:1235358771
Name:OPTOMETRIKA INC.
Entity Type:Organization
Organization Name:OPTOMETRIKA INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ASPROGERAKAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-274-5575
Mailing Address - Street 1:3018 31ST ST
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11102-1856
Mailing Address - Country:US
Mailing Address - Phone:718-274-5575
Mailing Address - Fax:718-274-9223
Practice Address - Street 1:3018 31ST ST
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11102-1856
Practice Address - Country:US
Practice Address - Phone:718-274-5575
Practice Address - Fax:718-274-9223
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYVUT005640152WV0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WV0400XEye and Vision Services ProvidersOptometristVision TherapyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYU57358Medicare UPIN
NYC0307Medicare ID - Type UnspecifiedDR. MARIA ASPROGERAKAS