Provider Demographics
NPI:1902021587
Name:GOOD GUYS OPTICAL, INC.
Entity Type:Organization
Organization Name:GOOD GUYS OPTICAL, INC.
Other - Org Name:LONG ISLAND OPTICIANS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:E
Authorized Official - Last Name:SANTINI
Authorized Official - Suffix:
Authorized Official - Credentials:ABOM
Authorized Official - Phone:516-781-9838
Mailing Address - Street 1:3844 SUNRISE HWY
Mailing Address - Street 2:
Mailing Address - City:SEAFORD
Mailing Address - State:NY
Mailing Address - Zip Code:11783-2634
Mailing Address - Country:US
Mailing Address - Phone:516-781-9838
Mailing Address - Fax:516-781-9878
Practice Address - Street 1:3844 SUNRISE HWY
Practice Address - Street 2:
Practice Address - City:SEAFORD
Practice Address - State:NY
Practice Address - Zip Code:11783-2634
Practice Address - Country:US
Practice Address - Phone:516-781-9838
Practice Address - Fax:516-781-9878
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYC003830-1332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1138590001Medicare ID - Type UnspecifiedDURABLE MEDICAL EQUIPMENT