OrganizationActive
104th St Optical Inc
NPI 1033278544 · Eyewear Supplier · New York, NY
Provider details
- NPI number
- 1033278544
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Authorized official
- Philip Sinoway, Owner
Practice location
1884 3rd Ave
New York, NY 10029
Phone: (212) 831-4733
Fax: (212) 831-0141
Mailing address
1884 3rd Ave
New York, NY 10029
Registry dates
- Enumerated
- 2006-12-08
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.