Provider Demographics
NPI:1376705988
Name:ORTS OPTICAL INC
Entity Type:Organization
Organization Name:ORTS OPTICAL INC
Other - Org Name:ARISTOCRAFT OPTICIANS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER PRESIDENT OPTICIAN
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:JOSEF
Authorized Official - Last Name:ORT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-724-3582
Mailing Address - Street 1:371 NESCONSET HIGHWAY
Mailing Address - Street 2:
Mailing Address - City:HAUPPAUGE
Mailing Address - State:NY
Mailing Address - Zip Code:11788
Mailing Address - Country:US
Mailing Address - Phone:631-724-3582
Mailing Address - Fax:631-724-3587
Practice Address - Street 1:371 NESCONSET HIGHWAY
Practice Address - Street 2:
Practice Address - City:HAUPPAUGE
Practice Address - State:NY
Practice Address - Zip Code:11788
Practice Address - Country:US
Practice Address - Phone:631-724-3582
Practice Address - Fax:631-724-3587
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-26
Last Update Date:2008-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1044150001Medicare NSC