Provider Demographics
NPI:1629635990
Name:IOPTICS INC
Entity Type:Organization
Organization Name:IOPTICS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANATOLIY
Authorized Official - Middle Name:
Authorized Official - Last Name:KAGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-273-4500
Mailing Address - Street 1:55 RICHMOND TER STE 350
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10301-1950
Mailing Address - Country:US
Mailing Address - Phone:718-237-4500
Mailing Address - Fax:718-273-5400
Practice Address - Street 1:55 RICHMOND TER STE 350
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10301-1950
Practice Address - Country:US
Practice Address - Phone:718-237-4500
Practice Address - Fax:718-273-5400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-22
Last Update Date:2019-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty