Provider Demographics
NPI:1851674675
Name:SHAPIRO OPTICAL INC.
Entity Type:Organization
Organization Name:SHAPIRO OPTICAL INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAPIRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-968-2626
Mailing Address - Street 1:1070 MALL WALK
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10704-1213
Mailing Address - Country:US
Mailing Address - Phone:914-968-2626
Mailing Address - Fax:914-968-3946
Practice Address - Street 1:1070 MALL WALK
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10704-1213
Practice Address - Country:US
Practice Address - Phone:914-968-2626
Practice Address - Fax:914-968-3946
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-28
Last Update Date:2012-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0071118OtherGHI
NYC88501OtherEMPIRE BC/BS
NY0555526OtherAETNA
NY=========OtherOXFORD
NY0555526OtherAETNA
NYC88501OtherEMPIRE BC/BS
NYT81383Medicare UPIN
NYC88501Medicare PIN