Provider Demographics
NPI:1588961643
Name:SPECS OPTICAL INC
Entity type:Organization
Organization Name:SPECS OPTICAL INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:FEINTUCH
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:845-225-1617
Mailing Address - Street 1:ROUTE 6
Mailing Address - Street 2:A & P PLAZA
Mailing Address - City:CARMEL
Mailing Address - State:NY
Mailing Address - Zip Code:10547-0000
Mailing Address - Country:US
Mailing Address - Phone:845-225-1617
Mailing Address - Fax:845-225-5746
Practice Address - Street 1:ROUTE 6, A & P PLAZA
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:NY
Practice Address - Zip Code:10512-0000
Practice Address - Country:US
Practice Address - Phone:845-225-1617
Practice Address - Fax:845-225-5746
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-24
Last Update Date:2011-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYT004280-1305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service