Provider Demographics
NPI: | 1457862161 |
---|---|
Name: | ORACLEWORKS LLC |
Entity Type: | Organization |
Organization Name: | ORACLEWORKS LLC |
Other - Org Name: | STERLING OPTICAL |
Other - Org Type: | Doing Business As |
Authorized Official - Title/Position: | OWNER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | REBECCA |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | ZONA |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 607-257-2333 |
Mailing Address - Street 1: | 22 CLIFTON COUNTRY RD |
Mailing Address - Street 2: | |
Mailing Address - City: | CLIFTON PARK |
Mailing Address - State: | NY |
Mailing Address - Zip Code: | 12065-3830 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 518-371-1881 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 22 CLIFTON COUNTRY RD |
Practice Address - Street 2: | |
Practice Address - City: | CLIFTON PARK |
Practice Address - State: | NY |
Practice Address - Zip Code: | 12065-3830 |
Practice Address - Country: | US |
Practice Address - Phone: | 518-371-1881 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2017-10-20 |
Last Update Date: | 2017-10-20 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
NY | TU004427 | 152W00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 152W00000X | Eye and Vision Services Providers | Optometrist | Group - Single Specialty |