Healthcare Provider Details

I. General information

NPI: 1568592475
Provider Name (Legal Business Name): WESTCHESTER OPTICAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1036 WESTCHESTER AVE OPTICAL 1500
BRONX NY
10459
US

IV. Provider business mailing address

1 E FORDHAM RD SIGHT N STYLE OPTICAL
BRONX NY
10468
US

V. Phone/Fax

Practice location:
  • Phone: 718-542-5400
  • Fax:
Mailing address:
  • Phone: 718-733-6700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number State

VIII. Authorized Official

Name: PHILIP SINOWAY
Title or Position: OWNER
Credential: OD
Phone: 718-733-6700