Provider Demographics
NPI:1851665111
Name:FASHION ARCADE OPTICS, INC
Entity Type:Organization
Organization Name:FASHION ARCADE OPTICS, INC
Other - Org Name:STERLING OPTICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:OMAWATHI
Authorized Official - Middle Name:
Authorized Official - Last Name:DEBIDAT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-348-4545
Mailing Address - Street 1:1744 VENERAN'S MEMORIAL HWY
Mailing Address - Street 2:
Mailing Address - City:ISLANDIA
Mailing Address - State:NY
Mailing Address - Zip Code:11749
Mailing Address - Country:US
Mailing Address - Phone:631-348-4545
Mailing Address - Fax:631-348-7324
Practice Address - Street 1:1744 VENERAN'S MEMORIAL HWY
Practice Address - Street 2:
Practice Address - City:ISLANDIA
Practice Address - State:NY
Practice Address - Zip Code:11749
Practice Address - Country:US
Practice Address - Phone:631-348-4545
Practice Address - Fax:631-348-7324
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-05
Last Update Date:2012-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007341-1156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty