Provider Demographics
NPI:1194065375
Name:OPTICS BY AMB INC
Entity type:Organization
Organization Name:OPTICS BY AMB INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:HEMANSHU
Authorized Official - Middle Name:
Authorized Official - Last Name:BATISH KHANNA
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:914-332-4074
Mailing Address - Street 1:4 N BROADWAY
Mailing Address - Street 2:
Mailing Address - City:TARRYTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10591-3202
Mailing Address - Country:US
Mailing Address - Phone:914-332-4074
Mailing Address - Fax:914-332-4078
Practice Address - Street 1:4 N BROADWAY
Practice Address - Street 2:
Practice Address - City:TARRYTOWN
Practice Address - State:NY
Practice Address - Zip Code:10591-3202
Practice Address - Country:US
Practice Address - Phone:914-332-4074
Practice Address - Fax:914-332-4078
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-25
Last Update Date:2013-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV007280152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1407012024OtherOPTOMETRISTS