Healthcare Provider Details

I. General information

NPI: 1851012561
Provider Name (Legal Business Name): OPSC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2022
Last Update Date: 09/09/2022
Certification Date: 09/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8512 BAY PKWY
BROOKLYN NY
11214-4197
US

IV. Provider business mailing address

8512 BAY PKWY
BROOKLYN NY
11214-4197
US

V. Phone/Fax

Practice location:
  • Phone: 929-308-2606
  • Fax: 929-308-2607
Mailing address:
  • Phone: 929-308-2606
  • Fax: 929-308-2607

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. SIUSHING WONG
Title or Position: OPTICIAN
Credential: OPTICIAN
Phone: 646-667-5496