The Optical Room Inc
Customized Equipment
20 West Ave, Brockport
New York, 14420-1304
585-637-5858 The Optical Room Inc is a Customized Equipment in Brockport, New York. It is located at 20 West Ave, Brockport and it's customer support contact number is 585-637-5858. The authorized person of The Optical Room Inc is Mr. Joseph Douglas Cervello who is Owner Optician of this DME and his contact number is 585-637-5858. Active license number of The Optical Room Inc is 003478 for Customized Equipment in New York.
The Optical Room Inc is a medical supplier who supplies 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:
The Optical Room 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: | The Optical Room Inc |
| Type: | Customized Equipment |
| Location: | 20 West Ave, Brockport,
New York, 14420-1304 |
| Phone: | 585-637-5858 |
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. Joseph Douglas Cervello |
| Position: | Owner Optician |
| Contact Number: | 585-637-5858 |
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: | 1295810182 |
| NPI Enumeration Date: | 26 Oct, 2006 |
| NPI Last Update On: | 11 Mar, 2008 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for The Optical Room Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Customized Equipment | 003478 | 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 |
| 01712234 | Medicaid | New Mexico | |
| 8779 | Other | New Mexico | Blue Shield Vision |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 20 West Ave, P.o. Box 374
Brockport, New York |
| Zip: | 14420-1304 |
| Phone Number: | 585-637-5858 |
Patients can reach The Optical Room Inc at
20 West Ave, Brockport, New York or can
call on customer care at 585-637-5858.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.