Provider Demographics
NPI:1679643514
Name:D.I OPTICAL INC
Entity Type:Organization
Organization Name:D.I OPTICAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:FRANCINE
Authorized Official - Middle Name:
Authorized Official - Last Name:FILIPOWICZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-665-4700
Mailing Address - Street 1:1 LEATRICE CORT
Mailing Address - Street 2:
Mailing Address - City:DIXHILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11746-0000
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1 LEATRICE CT
Practice Address - Street 2:
Practice Address - City:DIX HILLS
Practice Address - State:NY
Practice Address - Zip Code:11746-5216
Practice Address - Country:US
Practice Address - Phone:631-665-4700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY5243-1261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical