Provider Demographics
NPI:1558685602
Name:PRECISE OPTOMETRY PC
Entity Type:Organization
Organization Name:PRECISE OPTOMETRY PC
Other - Org Name:PRECISE OPTIQUE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FARSHAD
Authorized Official - Middle Name:
Authorized Official - Last Name:HAIIMPOUR
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:718-416-3937
Mailing Address - Street 1:40-25 JUNCTION BLVD
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:NY
Mailing Address - Zip Code:11368
Mailing Address - Country:US
Mailing Address - Phone:718-416-3937
Mailing Address - Fax:
Practice Address - Street 1:40-25 JUNCTION BLVD
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:NY
Practice Address - Zip Code:11368-1555
Practice Address - Country:US
Practice Address - Phone:718-416-3937
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03182010OtherAPPLICATION DATE