1619086220 NPI number — TRI SCHRIER OPTICAL INC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1619086220 NPI number — TRI SCHRIER OPTICAL INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TRI SCHRIER OPTICAL INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1619086220
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1205 JERICHO TPKE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEW HYDE PARK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11040
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
516-775-2606
Provider Business Mailing Address Fax Number:
516-775-2676

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1205 JERICHO TPKE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW HYDE PARK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11040
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
516-775-2606
Provider Business Practice Location Address Fax Number:
516-775-2676
Provider Enumeration Date:
08/29/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
SCHRIER
Authorized Official First Name:
STUART
Authorized Official Middle Name:
Authorized Official Title or Position:
OPTOMETRIST
Authorized Official Telephone Number:
718-728-4620

Provider Taxonomy Codes

  • Taxonomy code: 152W00000X , with the licence number:  T0044641 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)