OrganizationActive
Mammoth Optical
NPI 1487705018 · Durable Medical Equipment & Medical Supplies · Stony Brook, NY
Provider details
- NPI number
- 1487705018
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Andrew Polan, Presitdent(631) 246-5468
- License
- 6197 (NY)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2194 Nesconset Hwy Ste a
Stony Brook, NY 11790-3500
Phone: (631) 246-5468
Fax: (631) 246-5442
Street-level locationGet directions
Mailing address
2194 Nesconset Hwy Ste a
Stony Brook, NY 11790-3500
Other names (DBA / former)
- Doing business as
- Stony Brook Vision World
Registry dates
- Enumerated
- 2007-01-12
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.