MEDICARE: LCLJ OPTICAL CORP.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332H00000X	Eyewear Supplier	006929	NY

General Provider Information

NPI Number	:	1841594561
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LCLJ OPTICAL CORP.

Provider Business Mailing Address
First Line	:	240 PAGE AVE
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10307-1170
Country	:	US
Telephone Number	:	718-227-4059
Fax Number	:

Provider Business Practice Location Address
First Line	:	240 PAGE AVE
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10307-1170
Country	:	US
Telephone Number	:	718-227-4059
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT / OPTICIAN
Name	:	MR. LOUIS SOLOMON
Credential	:
Telephone Number	:	718-227-4059

Provider Enumeration Date	:	01/10/2011
Last Update Date	:	08/02/2011

Similar Medicare Providers

1881999522 — MR. LOUIS SOLOMON OPTICIAN
Practice Location Address:

240 PAGE AVE
STATEN ISLAND, NY
10307-1170

Practice Phone: 718-554-4762
Practice Fax: 347-983-4456

1932080132 — SHYELLE GABRIELLE GRANT RN
Practice Location Address:

22 OPENVIEW LN
STATEN ISLAND, NY
10302-1170

Practice Phone: 315-880-1070
Practice Fax:

1790228021 — ANTHONY SURACE
Practice Location Address:

3107 STONY POINT RD
GRAND ISLAND, NY
14072-1170

Practice Phone: 716-773-2606
Practice Fax:

1104236355 — WALGREEN CO
Practice Location Address:

7001 AMBOY RD
STATEN ISLAND, NY
10307-1444

Practice Phone: 718-569-5672
Practice Fax: 718-569-5673

1265365050 — ADVANCED HOME WOUND HEALING & WELLNESS LLC
Practice Location Address:

357 SWINNERTON ST
STATEN ISLAND, NY
10307-1644

Practice Phone: 609-442-6803
Practice Fax:

1518934447 — MRS. MARIA ELENA MCCABE ANP
Practice Location Address:

677 CRAIG AVE
STATEN ISLAND, NY
10307-1509

Practice Phone: 718-226-8555
Practice Fax: 718-226-8201

Directions to “LCLJ OPTICAL CORP. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.