Provider Demographics
NPI:1942385588
Name:RUBIN, BARBARA LEAH (OPTICIAN)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:LEAH
Last Name:RUBIN
Suffix:
Gender:F
Credentials:OPTICIAN
Other - Prefix:MS
Other - First Name:BARBARA
Other - Middle Name:LEAH
Other - Last Name:SCHRIER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OPTICIAN
Mailing Address - Street 1:842 IBSEN ST
Mailing Address - Street 2:
Mailing Address - City:WOODMERE
Mailing Address - State:NY
Mailing Address - Zip Code:11598-2329
Mailing Address - Country:US
Mailing Address - Phone:516-295-9190
Mailing Address - Fax:
Practice Address - Street 1:842 IBSEN ST
Practice Address - Street 2:
Practice Address - City:WOODMERE
Practice Address - State:NY
Practice Address - Zip Code:11598-2329
Practice Address - Country:US
Practice Address - Phone:516-295-9190
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY6007156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician