Provider Demographics
NPI:1720288814
Name:R.J.R. OPTICAL INC.
Entity Type:Organization
Organization Name:R.J.R. OPTICAL INC.
Other - Org Name:COHENS OPTICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIDOWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:631-271-9898
Mailing Address - Street 1:160 WALT WHITMAN RD STE 1077
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON STATION
Mailing Address - State:NY
Mailing Address - Zip Code:11746-4129
Mailing Address - Country:US
Mailing Address - Phone:631-271-9898
Mailing Address - Fax:
Practice Address - Street 1:160 WALT WHITMAN RD STE 1077
Practice Address - Street 2:
Practice Address - City:HUNTINGTON STATION
Practice Address - State:NY
Practice Address - Zip Code:11746-4129
Practice Address - Country:US
Practice Address - Phone:631-271-9898
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-18
Last Update Date:2007-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY4393332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier