Provider Demographics
NPI:1295831972
Name:B & H OPTICAL INC
Entity Type:Organization
Organization Name:B & H OPTICAL INC
Other - Org Name:STERLING OPTICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:IZABELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROZENTAL
Authorized Official - Suffix:
Authorized Official - Credentials:OPTICIAN
Authorized Official - Phone:914-245-8111
Mailing Address - Street 1:650 LEE BLVD
Mailing Address - Street 2:SUITE K02
Mailing Address - City:YORKTOWN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:10598-1160
Mailing Address - Country:US
Mailing Address - Phone:914-245-8111
Mailing Address - Fax:914-245-1826
Practice Address - Street 1:650 LEE BLVD
Practice Address - Street 2:SUITE K02
Practice Address - City:YORKTOWN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:10598-1160
Practice Address - Country:US
Practice Address - Phone:914-245-8111
Practice Address - Fax:914-245-1826
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-16
Last Update Date:2009-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02518876Medicaid
NY02518876Medicaid