Provider Demographics
NPI:1659189421
Name:MICHAEL ALLEN OPTICIANS INC
Entity type:Organization
Organization Name:MICHAEL ALLEN OPTICIANS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPTICIAN
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:KWARTNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-364-1288
Mailing Address - Street 1:7948 JERICHO TURNPIKE
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11797
Mailing Address - Country:US
Mailing Address - Phone:516-364-1288
Mailing Address - Fax:516-714-8600
Practice Address - Street 1:7948 JERICHO TURNPIKE
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:NY
Practice Address - Zip Code:11797
Practice Address - Country:US
Practice Address - Phone:516-364-1288
Practice Address - Fax:516-714-8600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-24
Last Update Date:2024-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty