Healthcare Provider Details

I. General information

NPI: 1316415151
Provider Name (Legal Business Name): STEINWAY EYE CARE CENTERS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2018
Last Update Date: 11/09/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3025 STEINWAY ST
ASTORIA NY
11103-3828
US

IV. Provider business mailing address

3025 STEINWAY ST
ASTORIA NY
11103-3828
US

V. Phone/Fax

Practice location:
  • Phone: 718-626-2020
  • Fax:
Mailing address:
  • Phone: 718-626-2020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code156FC0801X
TaxonomyContact Lens Fitter
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code156FX1800X
TaxonomyOptician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number State

VIII. Authorized Official

Name: SAMUEL THOMAS PIROZZOLO
Title or Position: MANAGER/OWNER
Credential: OPTHALMIC DISPENSER
Phone: 718-626-2020