Healthcare Provider Details

I. General information

NPI: 1336605229
Provider Name (Legal Business Name): LLAMBIRI OPTOMETRIC EYE CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2019
Last Update Date: 03/24/2023
Certification Date: 03/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3850 HEMPSTEAD TURNPIKE ATTENTION: TARGET OPTICAL
LEVITTOWN NY
11735-1173
US

IV. Provider business mailing address

10 HEARTHSTONE CT
FARMINGDALE NY
11735-3654
US

V. Phone/Fax

Practice location:
  • Phone: 830-357-0736
  • Fax:
Mailing address:
  • Phone: 347-216-1348
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: DHIMITER LLAMBIRI
Title or Position: OPTOMETRIST
Credential: OD
Phone: 347-216-1348