Provider Demographics
NPI:1205230091
Name:VISION OF YONKERS, INC.
Entity Type:Organization
Organization Name:VISION OF YONKERS, INC.
Other - Org Name:URBAN EYES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:NESSES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-612-4219
Mailing Address - Street 1:3119 STEINWAY ST
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11103-3908
Mailing Address - Country:US
Mailing Address - Phone:347-612-4219
Mailing Address - Fax:
Practice Address - Street 1:3119 STEINWAY ST
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11103-3908
Practice Address - Country:US
Practice Address - Phone:347-612-4219
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-22
Last Update Date:2017-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty