Provider Demographics
NPI:1538293048
Name:PACHT, JOSEPH (OPTICIAN)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:
Last Name:PACHT
Suffix:
Gender:M
Credentials:OPTICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3265 LONG BEACH RD
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11572-3649
Mailing Address - Country:US
Mailing Address - Phone:516-763-2020
Mailing Address - Fax:516-763-9880
Practice Address - Street 1:3265 LONG BEACH RD
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:NY
Practice Address - Zip Code:11572-3649
Practice Address - Country:US
Practice Address - Phone:516-763-2020
Practice Address - Fax:516-763-9880
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3672156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician