Provider Demographics
NPI:1497992069
Name:NY OPTIX LLC
Entity Type:Organization
Organization Name:NY OPTIX LLC
Other - Org Name:NU-VISION OPTICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:YAAKOV
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEINHOUSE
Authorized Official - Suffix:
Authorized Official - Credentials:LICENSED OPTICIAN
Authorized Official - Phone:718-377-5649
Mailing Address - Street 1:1823 AVENUE M
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-5308
Mailing Address - Country:US
Mailing Address - Phone:718-377-5649
Mailing Address - Fax:718-377-1935
Practice Address - Street 1:1823 AVENUE M
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-5308
Practice Address - Country:US
Practice Address - Phone:718-377-5649
Practice Address - Fax:718-377-1935
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NY OPTIX LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-01-19
Last Update Date:2009-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007414332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier