Healthcare Provider Details

I. General information

NPI: 1861587735
Provider Name (Legal Business Name): COVE OPTICIANS LTD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 05/27/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 FOREST AVE
GLEN COVE NY
11542-2015
US

IV. Provider business mailing address

130 FOREST AVE
GLEN COVE NY
11542-2015
US

V. Phone/Fax

Practice location:
  • Phone: 516-671-6883
  • Fax: 516-671-6928
Mailing address:
  • Phone: 516-671-6883
  • Fax: 516-671-6928

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code156FX1800X
TaxonomyOptician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. JOSEPH STUART MONESTERE
Title or Position: PRESIDENT
Credential: OPTICIAN
Phone: 516-671-6883