Provider Demographics
NPI:1790847499
Name:J.S. HOAGLAND,GUILD OPTICIANS
Entity Type:Organization
Organization Name:J.S. HOAGLAND,GUILD OPTICIANS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER-OPTICIAN
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:G
Authorized Official - Last Name:FOERSTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-732-3257
Mailing Address - Street 1:1 MAIDEN LN
Mailing Address - Street 2:6TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10038-4015
Mailing Address - Country:US
Mailing Address - Phone:212-732-3257
Mailing Address - Fax:
Practice Address - Street 1:1 MAIDEN LN
Practice Address - Street 2:6TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038-4015
Practice Address - Country:US
Practice Address - Phone:212-732-3257
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-16
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYC003741-1156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00425365Medicaid
NY00425365Medicaid