Provider Demographics
NPI:1073601076
Name:EYEGUYS LLP
Entity Type:Organization
Organization Name:EYEGUYS LLP
Other - Org Name:STAHL EYE ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARC
Authorized Official - Middle Name:SPENCER
Authorized Official - Last Name:WERNER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-832-8000
Mailing Address - Street 1:450 ENDO BLVD
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11530-6723
Mailing Address - Country:US
Mailing Address - Phone:516-832-8000
Mailing Address - Fax:516-832-8379
Practice Address - Street 1:450 ENDO BLVD
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:NY
Practice Address - Zip Code:11530-6723
Practice Address - Country:US
Practice Address - Phone:516-832-8000
Practice Address - Fax:516-832-8379
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-11
Last Update Date:2011-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207W00000X
NY005353332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332H00000XSuppliersEyewear Supplier
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYW2L631Medicare ID - Type UnspecifiedMEDICARE GROUP NUMBER
NY1250860001Medicare NSC