Port Jefferson Opticians Inc
Durable Medical Equipment & Medical Supplies
208 Route 112 Ste 2, Port Jefferson Station
New York, 11776-1013
631-331-0600 631-331-0809
Port Jefferson Opticians Inc is a Durable Medical Equipment & Medical Supplies in Port Jefferson Station, New York. It is located at 208 Route 112 Ste 2, Port Jefferson Station and it's customer support contact number is 631-331-0600. The authorized person of Port Jefferson Opticians Inc is Mr. Paul Mastrorocco, OPTICIAN who is President/optician of this DME and his contact number is 631-331-0600. Port Jefferson Opticians Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Port Jefferson Opticians Inc 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:
Port Jefferson Opticians Inc 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: | Port Jefferson Opticians Inc |
| Type: | Durable Medical Equipment & Medical Supplies |
| Location: | 208 Route 112 Ste 2, Port Jefferson Station,
New York, 11776-1013 |
| Phone: | 631-331-0600 |
| Fax: | 631-331-0809 |
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. Paul Mastrorocco |
| Credentials: | OPTICIAN |
| Position: | President/optician |
| Contact Number: | 631-331-0600 |
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: | 1154443158 |
| NPI Enumeration Date: | 03 Apr, 2007 |
| NPI Last Update On: | 17 Sep, 2021 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Port Jefferson Opticians Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | | | 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 |
| 01934578 | Medicaid | New York | |
Medicare Enrollment:
Port Jefferson Opticians Inc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 5597886697 | O20100930091574 | Port Jefferson Opticians Inc | DME SUPPLIER - OPTICIAN |
Products Available:
Port Jefferson Opticians Inc has following products available for sale under medicare.
| Products: |
|---|
| • Ocular Prostheses | • Prosthetic Lenses: Conventional Contact Lenses |
| • Prosthetic Lenses: Conventional Eyeglasses | • Prosthetic Lenses: Prosthetic Cataract Lenses |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 208 Route 112 Ste 2,
Port Jefferson Station, New York |
| Zip: | 11776-1013 |
| Phone Number: | 631-331-0600 |
| Fax Number: | 631-331-0809 |
Patients can reach Port Jefferson Opticians Inc at
208 Route 112 Ste 2, Port Jefferson Station, New York or can
call on customer care at 631-331-0600.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.