Provider Demographics
NPI:1720245053
Name:STERLING OPTICAL
Entity type:Organization
Organization Name:STERLING OPTICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:PAYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-390-2134
Mailing Address - Street 1:100 QUENTIN ROOSEVELT BLVD
Mailing Address - Street 2:508
Mailing Address - City:GARDEN CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11530-4843
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:100 QUENTIN ROOSEVELT BLVD
Practice Address - Street 2:508
Practice Address - City:GARDEN CITY
Practice Address - State:NY
Practice Address - Zip Code:11530-4843
Practice Address - Country:US
Practice Address - Phone:516-390-2115
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EMERGING VISION INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-05-22
Last Update Date:2008-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1100XEye and Vision Services ProvidersTechnician/TechnologistOphthalmicGroup - Single Specialty