Provider Demographics
NPI:1700919123
Name:P.S.J.S. OPTICS CORP.
Entity type:Organization
Organization Name:P.S.J.S. OPTICS CORP.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:GENTILE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:516-785-2288
Mailing Address - Street 1:2469 MERRICK RD
Mailing Address - Street 2:
Mailing Address - City:BELLMORE
Mailing Address - State:NY
Mailing Address - Zip Code:11710-5705
Mailing Address - Country:US
Mailing Address - Phone:516-785-2288
Mailing Address - Fax:516-221-2652
Practice Address - Street 1:2469 MERRICK RD
Practice Address - Street 2:
Practice Address - City:BELLMORE
Practice Address - State:NY
Practice Address - Zip Code:11710-5705
Practice Address - Country:US
Practice Address - Phone:516-785-2288
Practice Address - Fax:516-221-2652
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-14
Last Update Date:2009-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty