Provider Demographics
NPI:1467630657
Name:S&D WINEFSKY/S&B OPTICAL
Entity Type:Organization
Organization Name:S&D WINEFSKY/S&B OPTICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTICIAN/PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SHELDON
Authorized Official - Middle Name:
Authorized Official - Last Name:WINEFSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-887-3250
Mailing Address - Street 1:3 HUNTINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:LYNBROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11563-3711
Mailing Address - Country:US
Mailing Address - Phone:516-887-3250
Mailing Address - Fax:
Practice Address - Street 1:3 HUNTINGTON AVE
Practice Address - Street 2:
Practice Address - City:LYNBROOK
Practice Address - State:NY
Practice Address - Zip Code:11563-3711
Practice Address - Country:US
Practice Address - Phone:516-887-3250
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-10
Last Update Date:2008-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYC003193-1332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1318270001Medicare NSC