Provider Demographics
NPI:1386460657
Name:STARBASE OPTOMETRY, P.C.
Entity type:Organization
Organization Name:STARBASE OPTOMETRY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ONWER / OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:C
Authorized Official - Last Name:FEIN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:347-693-3937
Mailing Address - Street 1:255 1ST ST APT 4B
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-1972
Mailing Address - Country:US
Mailing Address - Phone:347-693-3937
Mailing Address - Fax:
Practice Address - Street 1:144 E 44TH ST STE 100
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-4008
Practice Address - Country:US
Practice Address - Phone:212-994-2020
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-02
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty