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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SOUTH PARK OPTICAL, INC.

Active Organization

SOUTH PARK OPTICAL, INC. is a Eyewear Supplier organization located in BLASDELL, New York. NPI 1700974946 is currently active in the NPPES registry. Verify at CMS.

Eyewear Supplier · BLASDELL, NY

Registration Details

NPI Number
1700974946
Provider Type
Organization
NPI Issued
Oct 11, 2006 (19.833890678729 yrs)
Last Updated
Dec 5, 2014
Licenses
C-5093-1 (NY)
5093 (NY)

Practice Information

Address
3861 S PARK AVE
BLASDELL, NY, 142191813
Browse NY providers · Browse ZIP 14219
Phone
7168236093
Primary Specialty
Eyewear Supplier
332H00000X
Additional Specialty
Eyewear Supplier

Other Eyewear Supplier Organizations in BLASDELL, NY

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.