Provider Demographics
NPI:1700398732
Name:NANCY FELDMAN OPTICIAN INC
Entity Type:Organization
Organization Name:NANCY FELDMAN OPTICIAN INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTICIAN
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:FELDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-343-9122
Mailing Address - Street 1:2542 DOCK RD
Mailing Address - Street 2:
Mailing Address - City:BELLMORE
Mailing Address - State:NY
Mailing Address - Zip Code:11710-3805
Mailing Address - Country:US
Mailing Address - Phone:516-343-9122
Mailing Address - Fax:516-804-0321
Practice Address - Street 1:2542 DOCK RD
Practice Address - Street 2:
Practice Address - City:BELLMORE
Practice Address - State:NY
Practice Address - Zip Code:11710-3805
Practice Address - Country:US
Practice Address - Phone:516-343-9122
Practice Address - Fax:516-804-0321
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-31
Last Update Date:2017-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3992156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty