Provider Demographics
NPI:1568798148
Name:STERLING OPTICAL
Entity Type:Organization
Organization Name:STERLING OPTICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAPIRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-390-2115
Mailing Address - Street 1:55 PARSONAGE RD
Mailing Address - Street 2:UNIT 368B
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08837-2480
Mailing Address - Country:US
Mailing Address - Phone:732-906-8081
Mailing Address - Fax:732-906-7995
Practice Address - Street 1:100 QUENTIN ROOSEVELT BLVD
Practice Address - Street 2:STE 508
Practice Address - City:GARDEN CITY
Practice Address - State:NY
Practice Address - Zip Code:11530-4874
Practice Address - Country:US
Practice Address - Phone:516-390-2115
Practice Address - Fax:516-390-2170
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EMERGING VISION INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-11-02
Last Update Date:2009-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1100XEye and Vision Services ProvidersTechnician/TechnologistOphthalmicGroup - Single Specialty