Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mineola Optical Boutique Inc

Organization Eyewear Supplier · NPI 1780720748

Mineola Optical Boutique Inc is an Eyewear Supplier in Mineola, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

330 Old Country Rd Ste 100
Mineola, NY 11501-4187
Phone: (516) 248-5554
Fax: (516) 739-6620
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Eyewear Supplier (primary) Taxonomy 332H00000X · Licence 3126 (NY)

Record details

NPI number1780720748
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Peter Bacotti — Manager · (516) 248-5554
NPI enumeratedJanuary 29, 2007
Last updated in NPPESAugust 22, 2020
Mailing address330 Old Country Rd, Suite 100, Mineola, NY 11501-4187

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