Provider Demographics
NPI:1982649471
Name:BRIGHT VIEW OPT INC
Entity Type:Organization
Organization Name:BRIGHT VIEW OPT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OPTHALMIC DISPENSER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:GELB
Authorized Official - Suffix:
Authorized Official - Credentials:OPHELMIC DISPENSE
Authorized Official - Phone:845-352-6281
Mailing Address - Street 1:7 WALTER DR
Mailing Address - Street 2:
Mailing Address - City:MONSEY
Mailing Address - State:NY
Mailing Address - Zip Code:10952
Mailing Address - Country:US
Mailing Address - Phone:845-425-6237
Mailing Address - Fax:
Practice Address - Street 1:40 MAIN ST
Practice Address - Street 2:
Practice Address - City:MONSEY
Practice Address - State:NY
Practice Address - Zip Code:10952
Practice Address - Country:US
Practice Address - Phone:845-352-6281
Practice Address - Fax:845-352-5092
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYC03556332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
909980OtherBLOCK VISION
2245OtherDAVIS VISION
NY00328565Medicaid
NY00328565Medicaid