Provider Demographics
NPI:1316260524
Name:IAR DELANCEY OPTICAL INC
Entity type:Organization
Organization Name:IAR DELANCEY OPTICAL INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:IGOR
Authorized Official - Middle Name:
Authorized Official - Last Name:RICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-674-1986
Mailing Address - Street 1:117 ORCHARD ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10002-3276
Mailing Address - Country:US
Mailing Address - Phone:212-674-1986
Mailing Address - Fax:212-475-2082
Practice Address - Street 1:117 ORCHARD ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10002-3276
Practice Address - Country:US
Practice Address - Phone:212-674-1986
Practice Address - Fax:212-475-2082
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-03
Last Update Date:2019-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV005957-1332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier