Healthcare Provider Details

I. General information

NPI: 1891613659
Provider Name (Legal Business Name): DESIGNER EYEWEAR FOR LESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 DOLSON AVE STE 108
MIDDLETOWN NY
10940-6563
US

IV. Provider business mailing address

78 SYCAMORE DR
MIDDLETOWN NY
10940-5458
US

V. Phone/Fax

Practice location:
  • Phone: 845-956-0270
  • Fax:
Mailing address:
  • Phone: 845-956-0270
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code156FX1800X
TaxonomyOptician
License Number
License Number State

VIII. Authorized Official

Name: MR. ORLANDO LALLAVE
Title or Position: OPHTHALMIC DISPENSER
Credential:
Phone: 845-636-3250