Provider Demographics
NPI:1861587735
Name:COVE OPTICIANS LTD.
Entity type:Organization
Organization Name:COVE OPTICIANS LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:STUART
Authorized Official - Last Name:MONESTERE
Authorized Official - Suffix:
Authorized Official - Credentials:OPTICIAN
Authorized Official - Phone:516-671-6883
Mailing Address - Street 1:130 FOREST AVE
Mailing Address - Street 2:
Mailing Address - City:GLEN COVE
Mailing Address - State:NY
Mailing Address - Zip Code:11542-2015
Mailing Address - Country:US
Mailing Address - Phone:516-671-6883
Mailing Address - Fax:516-671-6928
Practice Address - Street 1:130 FOREST AVE
Practice Address - Street 2:
Practice Address - City:GLEN COVE
Practice Address - State:NY
Practice Address - Zip Code:11542-2015
Practice Address - Country:US
Practice Address - Phone:516-671-6883
Practice Address - Fax:516-671-6928
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2008-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Multi-Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0788920001Medicare NSC
NYC50091Medicare PIN
NYC4W911Medicare PIN