Mammoth Optical
Durable Medical Equipment & Medical Supplies
2194 Nesconset Hwy Ste A, Stony Brook
New York, 11790-3500
631-246-5468 631-246-5442
Mammoth Optical is not a DME supplier for medicare equipment and products.Mammoth Optical is a Durable Medical Equipment & Medical Supplies in Stony Brook, New York. It is located at 2194 Nesconset Hwy Ste A, Stony Brook and it's customer support contact number is 631-246-5468. The authorized person of Mammoth Optical is Mr. Andrew Neil Polan who is Presitdent of this DME and his contact number is 631-246-5468. Active license number of Mammoth Optical is 6197 for Durable Medical Equipment & Medical Supplies in New York.
Mammoth Optical is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
DME Supplier Details:
Mammoth Optical type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Mammoth Optical |
| Type: | Durable Medical Equipment & Medical Supplies |
| Location: | 2194 Nesconset Hwy Ste A, Stony Brook, New York, 11790-3500 |
| Phone: | 631-246-5468 |
| Fax: | 631-246-5442 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Andrew Neil Polan |
| Position: | Presitdent |
| Contact Number: | 631-246-5468 |
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 of given supplier are as mentioned below.
| NPI Number: | 1487705018 |
| NPI Enumeration Date: | 12 Jan, 2007 |
| NPI Last Update On: | 22 Aug, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mammoth Optical are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | 6197 | New York | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 01679698 | 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: | 2194 Nesconset Hwy Ste A, Stony Brook, New York |
| Zip: | 11790-3500 |
| Phone Number: | 631-246-5468 |
| Fax Number: | 631-246-5442 |
Patients can reach Mammoth Optical at
2194 Nesconset Hwy Ste A, Stony Brook, New York or can
call on customer care at 631-246-5468.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.