Healthcare Provider Details
I. General information
NPI: 1144361387
Provider Name (Legal Business Name): BEE TSE OPTICIAN INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/09/2007
Last Update Date: 12/17/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6002 8TH AVE
BROOKLYN NY
11220-4338
US
IV. Provider business mailing address
6002 8TH AVE
BROOKLYN NY
11220-4338
US
V. Phone/Fax
- Phone: 718-439-2880
- Fax: 718-492-1280
- Phone: 718-439-2880
- Fax: 718-492-1280
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 152W00000X |
| Taxonomy | Optometrist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332H00000X |
| Taxonomy | Eyewear Supplier |
| License Number | 008372 |
| License Number State | NY |
VIII. Authorized Official
Name: DR.
WILLIAM
LING
Title or Position: PRESIDENT
Credential: O.D.
Phone: 718-439-2880