Advanced Optical,inc

NPI #1720210180 in Shirley, New York

Provider Information

NPI Number: 1720210180
Entity Type: Organization
Organization Name: Advanced Optical,inc
Primary Specialty: Eyewear Supplier
Enumeration Date: Aug 19, 2009
Last Updated: Jan 18, 2011

Practice Location

Address: 999 MONTAUK HWY UNIT 3
City: Shirley
State: New York
ZIP Code: 11967-2100
Phone: (631) 399-6992

Authorized Official

Name: DR. KEITH SCHEINBLUM, MD
Title: MANAGER
Phone: (631) 399-6992

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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