Provider Demographics
NPI:1639835713
Name:ANCA OPTICAL CORP
Entity Type:Organization
Organization Name:ANCA OPTICAL CORP
Other - Org Name:ANTHONY AIDEN OPTICIANS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:FRANK
Authorized Official - Last Name:GAGGI
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:212-533-1577
Mailing Address - Street 1:42 ST. MARKS PLACE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10003
Mailing Address - Country:US
Mailing Address - Phone:212-533-1577
Mailing Address - Fax:212-505-1184
Practice Address - Street 1:42 ST. MARKS PL
Practice Address - Street 2:
Practice Address - City:NEW YORK CITY
Practice Address - State:NY
Practice Address - Zip Code:10003
Practice Address - Country:US
Practice Address - Phone:212-533-1577
Practice Address - Fax:212-505-1184
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-12
Last Update Date:2021-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty