Provider Demographics
NPI:1558524025
Name:UNIQUE OPTICAL INC.
Entity Type:Organization
Organization Name:UNIQUE OPTICAL INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTICIAN
Authorized Official - Prefix:MR
Authorized Official - First Name:ARTUR
Authorized Official - Middle Name:
Authorized Official - Last Name:CHULPAYEV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-544-1503
Mailing Address - Street 1:16102 UNION TPKE
Mailing Address - Street 2:2
Mailing Address - City:FRESH MEADOWS
Mailing Address - State:NY
Mailing Address - Zip Code:11366-1900
Mailing Address - Country:US
Mailing Address - Phone:917-544-1503
Mailing Address - Fax:
Practice Address - Street 1:16102 UNION TPKE
Practice Address - Street 2:2
Practice Address - City:FRESH MEADOWS
Practice Address - State:NY
Practice Address - Zip Code:11366-1900
Practice Address - Country:US
Practice Address - Phone:917-544-1503
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-05
Last Update Date:2008-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008856332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier