Mammoth Optical
Mammoth Optical is a Durable Medical Equipment & Medical Supplies in Stony Brook, New York. Licensed in New York. Registered with an NPI since 2007.
- Licensed in
- NY
- In the registry since
- 2007
Practice location Address checks out
2194 Nesconset Hwy Ste AStony Brook, NY 11790-3500
Phone: (631) 246-5468
Fax: (631) 246-5442
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Durable Medical Equipment & Medical Supplies (primary) | Taxonomy 332B00000X · Licence 6197 (NY) |
|---|
Record details
| NPI number | 1487705018 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Andrew Polan — Presitdent · (631) 246-5468 |
| Other names | Stony Brook Vision World |
| NPI enumerated | January 12, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 2194 Nesconset Hwy Ste A, Stony Brook, NY 11790-3500 |
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