Provider Demographics
NPI:1548461320
Name:WARWICK OPTICAL INC
Entity type:Organization
Organization Name:WARWICK OPTICAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:EMANUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:PIAZZA
Authorized Official - Suffix:JR
Authorized Official - Credentials:OPTHALMIC DISPENSER
Authorized Official - Phone:845-987-7333
Mailing Address - Street 1:25 ELM ST
Mailing Address - Street 2:UNIT 3
Mailing Address - City:WARWICK
Mailing Address - State:NY
Mailing Address - Zip Code:10990-1455
Mailing Address - Country:US
Mailing Address - Phone:845-987-7333
Mailing Address - Fax:845-986-8040
Practice Address - Street 1:25 ELM ST
Practice Address - Street 2:UNIT 3
Practice Address - City:WARWICK
Practice Address - State:NY
Practice Address - Zip Code:10990-1455
Practice Address - Country:US
Practice Address - Phone:845-987-7333
Practice Address - Fax:845-986-8040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-30
Last Update Date:2020-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY5273156FX1800X, 332H00000X
NY52321152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
No156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Multi-Specialty
No332H00000XSuppliersEyewear SupplierGroup - Multi-Specialty