Provider Demographics
NPI:1760652994
Name:SABAS OPTICAL SERVICE INC.
Entity Type:Organization
Organization Name:SABAS OPTICAL SERVICE INC.
Other - Org Name:NATIONWIDE OPTICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SABAS
Authorized Official - Middle Name:
Authorized Official - Last Name:KLAHN
Authorized Official - Suffix:
Authorized Official - Credentials:LDO
Authorized Official - Phone:954-977-0220
Mailing Address - Street 1:1427 BANKS RD
Mailing Address - Street 2:
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063-3941
Mailing Address - Country:US
Mailing Address - Phone:954-977-0220
Mailing Address - Fax:
Practice Address - Street 1:1427 BANKS RD
Practice Address - Street 2:
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33063-3941
Practice Address - Country:US
Practice Address - Phone:954-977-0220
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-04
Last Update Date:2008-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLD2412332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0862680001Medicare NSC