Provider Demographics
NPI:1417028911
Name:AM-CLAR OPTICAL, INC
Entity Type:Organization
Organization Name:AM-CLAR OPTICAL, INC
Other - Org Name:STERLING OPTICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:HONEYMAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:716-632-5497
Mailing Address - Street 1:7088 TRANSIT RD
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14221-7214
Mailing Address - Country:US
Mailing Address - Phone:716-632-5497
Mailing Address - Fax:716-632-1182
Practice Address - Street 1:7088 TRANSIT RD
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14221-7214
Practice Address - Country:US
Practice Address - Phone:716-632-5497
Practice Address - Fax:716-632-1182
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-13
Last Update Date:2018-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYVUT0050065332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01681089Medicaid
NYNY-5065OtherEYEMED
NY003900781OtherBCBS
08696OtherSPECTERA
NY30146OtherDAVIS
NY109438OtherAMERICAN AXLE
NY00011208602OtherUNIVERA
NY10935OtherCOLE
NY=========OtherGHI
NY00011208602OtherUNIVERA