Provider Demographics
NPI:1881571693
Name:OLIVIA'S OPTICAL INC
Entity type:Organization
Organization Name:OLIVIA'S OPTICAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:KUNG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-358-9595
Mailing Address - Street 1:3811 UNION ST
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-6737
Mailing Address - Country:US
Mailing Address - Phone:718-358-9595
Mailing Address - Fax:
Practice Address - Street 1:3811 UNION ST
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-6737
Practice Address - Country:US
Practice Address - Phone:718-358-9595
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-21
Last Update Date:2025-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment