OrganizationActive
Advantage Optical
NPI 1902091523 · Eyewear Supplier · North Bellmore, NY
Provider details
- NPI number
- 1902091523
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Jacquelyn Guida, Optometrist(516) 679-5866
- License
- VUT005946-1 (NY)
Specialties & taxonomies
Suppliers
Practice location
542 Jerusalem Ave
North Bellmore, NY 11710-1829
Phone: (516) 679-5866
Fax: (516) 679-5869
Approximate (ZIP-level) locationGet directions
Mailing address
542 Jerusalem Ave
North Bellmore, NY 11710-1829
Registry dates
- Enumerated
- 2007-09-06
- Last updated
- 2022-07-29
- Certified
- 2022-07-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.