Mr. Paul Mastrorocco is a Port Jefferson Station, New York based male eyecare provider who is specialized as Optician. He has professional credentials of DISPENSING OPTICIAN. Active license number of Mr. Paul Mastrorocco is 5855-1 for Optician in New York. Mr. Paul Mastrorocco makes / sells eyeglasses and, contact lenses, for remedying defects of vision in accordance with the prescriptions of ophthalmologists and optometrists. Opticians also specializes in filling lens prescriptions, assisting patients with lens and frame selection and fitting (including style, weight and colour) but they do not test vision or write prescriptions for visual correction.
Complete Profile:
Mr. Paul Mastrorocco speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optician
Credentials:
DISPENSING OPTICIAN
Gender:
Male
Practice Address:
208 Route 112 Ste 2, Port Jefferson Station, New York, 11776-1013
Phone:
631-331-0600
Fax:
631-331-0809
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1801041843
NPI Enumeration Date:
18 Nov, 2008
NPI Last Update On:
17 Sep, 2021
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Paul Mastrorocco are as mentioned below.
License Number
Specialization
State
Status
5855-1
Optician
New York
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Paul Mastrorocco such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
00342952
Medicaid
New York
00683849
Medicaid
New York
01934578
Medicaid
New York
03292940
Medicaid
New York
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
180 E Main St, Suite 104 Patchogue, New York
Zip:
11772-3171
Phone Number:
631-475-5030
Fax Number:
631-475-5037
Patients can reach Mr. Paul Mastrorocco at 208 Route 112 Ste 2, Port Jefferson Station, New York or can call to book an appointment on 631-331-0600. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.