EXPLORER OPTICAL INC


Address: 1351 Forest Ave, Staten Island, NY 10302-2049
Phone: 7185645484

EXPLORER OPTICAL INC (NPI# 1538623376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538623376
Entity Type Organization
Organization Name EXPLORER OPTICAL INC
Other Organization Name LEGEND EYE CARE
Practice Address 1351 Forest Ave
Staten Island
NY 10302-2049
Practice Telephone 7185645484
Enumeration Date 2019-01-25
Last Update Date 2019-07-24
Authorized Official Name ALEKSANDR RITS (CEO)
Authorized Official Telephone 7185645484
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM2500X Clinic/Center
Specialization: Medical Specialty
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Legend Eye Care Doing Business As Name - Organization

Other Data Sources

Entity Type Entity Name Entity Address
New York State Corporations EXPLORER OPTICAL INC. 109 Schley Ave, Staten Island, New York 10308

Office Location

Street Address 1351 FOREST AVE
City STATEN ISLAND
State NY
Zip Code 10302-2049

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1881791648 Pathmark Stores Inc Durable Medical Equipment & Medical Supplies 1351 Forest Ave, Staten Island, NY 10302-2027 2006-09-20
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1730643859 Darya Dronov Occupational Therapist 1351 Forest Ave, Staten Island, NY 10302-2049 2019-01-23
1982184578 Michael Maccarriello Physical Therapist 1351 Forest Ave, Staten Island, NY 10302-2049 2018-08-14
1457721680 Stop and Shop Supermarket Co LLC Durable Medical Equipment & Medical Supplies 1351 Forest Ave, Staten Island, NY 10302-2049 2015-09-30
1417298001 One On One Physical Therapy of Forest Avenue PC Physical Therapist 1351 Forest Ave, Staten Island, NY 10302-2049 2013-03-07
1083907927 Rebecca Pickell Pharmacist 1351 Forest Ave, Staten Island, NY 10302-2049 2011-05-25
1699944108 Roman Shleyfer Pharmacist 1351 Forest Ave, Staten Island, NY 10302-2027 2008-02-28
1922277540 Gloria Kanakos Pharmacist 1351 Forest Ave, Staten Island, NY 10302-2027 2008-02-28
1750550414 Joseph E Huszcza Pharmacist 1351 Forest Ave, Staten Island, NY 10302-2027 2008-02-27
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NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 261QM2500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Medical Specialty

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Notes: [7/1/2003: new]

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Competitor

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City STATEN ISLAND
Zip Code 10302

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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