Provider Demographics
NPI:1710253034
Name:SH & HH OPTICAL CORP
Entity Type:Organization
Organization Name:SH & HH OPTICAL CORP
Other - Org Name:SUPREME SPECTACLE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SHARI
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:HAUSMAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:212-795-5640
Mailing Address - Street 1:4250 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10033-3748
Mailing Address - Country:US
Mailing Address - Phone:212-795-5640
Mailing Address - Fax:
Practice Address - Street 1:4250 BROADWAY
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10033-3748
Practice Address - Country:US
Practice Address - Phone:212-795-5640
Practice Address - Fax:212-927-6200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-30
Last Update Date:2012-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYT005254332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier