Provider Demographics
NPI:1386868065
Name:NOBLE OPTICAL CORPORATION
Entity Type:Organization
Organization Name:NOBLE OPTICAL CORPORATION
Other - Org Name:VISION WORLD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:FLYNN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:914-666-3150
Mailing Address - Street 1:777 BEDFORD RD
Mailing Address - Street 2:
Mailing Address - City:BEDFORD HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:10507-1504
Mailing Address - Country:US
Mailing Address - Phone:914-666-3150
Mailing Address - Fax:914-666-6045
Practice Address - Street 1:777 BEDFORD RD
Practice Address - Street 2:
Practice Address - City:BEDFORD HILLS
Practice Address - State:NY
Practice Address - Zip Code:10507-1504
Practice Address - Country:US
Practice Address - Phone:914-666-3150
Practice Address - Fax:914-666-6045
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-12
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV005482-1152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
=========OtherTAX ID#