South Fork Optical Center, Inc.
NPI #1891982476 in Hampton Bays, New York
Provider Information
- NPI Number
- 1891982476
- Entity Type
- Organization
- Organization Name
- South Fork Optical Center, Inc.
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Sep 27, 2007
- Last Updated
- Feb 26, 2008
Practice Location
- Address
- 1 JACKSON AVE SOUTH
- City
- Hampton Bays
- State
- New York
- ZIP Code
- 11946-2018
- Phone
- (631) 728-1525
Authorized Official
- Name
- DR. ALEX TSCHUBARJAN, O.D.
- Title
- DOCTOR/OWNER
- Phone
- (631) 728-1525
Specialties & Taxonomy Codes
| Specialty |
|---|
| Eyewear Supplier |
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