Provider Demographics
NPI:1508268897
Name:G & B P OPTICAL CORP
Entity Type:Organization
Organization Name:G & B P OPTICAL CORP
Other - Org Name:PEARLE VISION 8720
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:GENE
Authorized Official - Middle Name:
Authorized Official - Last Name:GOLD
Authorized Official - Suffix:
Authorized Official - Credentials:LO
Authorized Official - Phone:845-298-1288
Mailing Address - Street 1:2001 SOUTH RD
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12601-5978
Mailing Address - Country:US
Mailing Address - Phone:845-298-1288
Mailing Address - Fax:845-298-1280
Practice Address - Street 1:2001 SOUTH RD
Practice Address - Street 2:SUITE D110
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601-5978
Practice Address - Country:US
Practice Address - Phone:845-298-1288
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-18
Last Update Date:2014-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier