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

Optical Shop of Deer Park Inc

Organization Optometrist · NPI 1386101632

Optical Shop of Deer Park Inc is an Optometrist in Deer Park, New York. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2
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

415 Commack Rd Ste 2B
Deer Park, NY 11729-4508
Phone: (631) 392-0711
Fax: (631) 392-0752
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Eyewear Supplier (primary) Taxonomy 332H00000X
Optometrist Taxonomy 152W00000X

Record details

NPI number1386101632
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leonid Gladstein — Owner · (917) 887-8872
NPI enumeratedFebruary 22, 2019
Last updated in NPPESJuly 2, 2019
Mailing address415 Commack Rd Ste 2b, Deer Park, NY 11729-4508

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