Provider Demographics
NPI:1558402974
Name:RAYMOND OPTICIANS
Entity Type:Organization
Organization Name:RAYMOND OPTICIANS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:J
Authorized Official - Last Name:KOLKMANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-245-5151
Mailing Address - Street 1:3630 HILL BLVD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:JEFFERSON VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10535-1520
Mailing Address - Country:US
Mailing Address - Phone:914-245-5151
Mailing Address - Fax:914-245-7157
Practice Address - Street 1:3630 HILL BLVD
Practice Address - Street 2:SUITE 203
Practice Address - City:JEFFERSON VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10535-1520
Practice Address - Country:US
Practice Address - Phone:914-245-5151
Practice Address - Fax:914-245-7157
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RAYMOND OPTICIANS OF YONKERS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-02-09
Last Update Date:2016-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY4025156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty