Healthcare Provider Details

I. General information

NPI: 1134256407
Provider Name (Legal Business Name): HMP OPTICAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2007
Last Update Date: 06/07/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 SOUTH MAIN ST
NEW CITY NY
10956-3514
US

IV. Provider business mailing address

70 SOUTH MAIN ST
NEW CITY NY
10956-3514
US

V. Phone/Fax

Practice location:
  • Phone: 845-634-8816
  • Fax: 845-634-8728
Mailing address:
  • Phone: 845-634-8816
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code156FX1100X
TaxonomyOphthalmic Technician/Technologist
License NumberNY3626
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code156FX1700X
TaxonomyOcularist
License Number3626
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code156FC0801X
TaxonomyContact Lens Fitter
License NumberNY3626
License Number StateNY

VIII. Authorized Official

Name: MR. HOWARD MARK PECKLER
Title or Position: PRESIDENT
Credential:
Phone: 845-634-8816