MEDICARE: LENSEI INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332H00000X	Eyewear Supplier

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1112180001	OTHER	NY	PTAN

General Provider Information

NPI Number	:	1205089216
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LENSEI INC.

Provider Business Mailing Address
First Line	:	118 MAPLE AVENUE
Second Line	:
City	:	NEW CITY
State	:	NY
Zip	:	10956-5061
Country	:	US
Telephone Number	:	845-639-1200
Fax Number	:	845-639-1201

Provider Business Practice Location Address
First Line	:	118 MAPLE AVE
Second Line	:
City	:	NEW CITY
State	:	NY
Zip	:	10956-5061
Country	:	US
Telephone Number	:	845-639-1200
Fax Number	:	845-639-1201

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. LEONARD B. ROSOFSKY
Credential	:	OPTICIAN
Telephone Number	:	845-639-1200

Provider Enumeration Date	:	11/04/2008
Last Update Date	:	11/04/2008

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Directions to “LENSEI INC. ” Practice Location

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