Provider Demographics
NPI:1437831229
Name:BIG APPLE OPTOMETRY, PC
Entity Type:Organization
Organization Name:BIG APPLE OPTOMETRY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:POOJA
Authorized Official - Middle Name:
Authorized Official - Last Name:BERDIA
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:631-335-7250
Mailing Address - Street 1:81 DARTMOUTH DR
Mailing Address - Street 2:
Mailing Address - City:HICKSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11801-3420
Mailing Address - Country:US
Mailing Address - Phone:631-335-7250
Mailing Address - Fax:
Practice Address - Street 1:999 CORPORATE DR
Practice Address - Street 2:
Practice Address - City:WESTBURY
Practice Address - State:NY
Practice Address - Zip Code:11590-6614
Practice Address - Country:US
Practice Address - Phone:631-335-7250
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-02
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty