Provider Demographics
NPI:1295027233
Name:NATIONAL EYE CARE
Entity Type:Organization
Organization Name:NATIONAL EYE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:BANGLYEU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-320-0551
Mailing Address - Street 1:691 COOP CITY BLVD.
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10475
Mailing Address - Country:US
Mailing Address - Phone:718-320-0551
Mailing Address - Fax:718-636-4505
Practice Address - Street 1:691 COOP CITY BLVD.
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10475
Practice Address - Country:US
Practice Address - Phone:718-320-0551
Practice Address - Fax:718-636-4505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-10
Last Update Date:2011-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier