Provider Demographics
NPI:1285674135
Name:OCEAN VIEW OPTICAL#6 INC
Entity Type:Organization
Organization Name:OCEAN VIEW OPTICAL#6 INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTICIAN
Authorized Official - Prefix:MS
Authorized Official - First Name:TANYA
Authorized Official - Middle Name:
Authorized Official - Last Name:MANEVICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-826-9600
Mailing Address - Street 1:789 FLATBUSH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11226-1903
Mailing Address - Country:US
Mailing Address - Phone:718-826-9600
Mailing Address - Fax:718-826-9916
Practice Address - Street 1:789 FLATBUSH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11226-1903
Practice Address - Country:US
Practice Address - Phone:718-826-9600
Practice Address - Fax:718-826-9916
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-08
Last Update Date:2008-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Multi-Specialty