Provider Demographics
NPI: | 1326494287 |
---|---|
Name: | HUASHI EYEWEAR |
Entity Type: | Organization |
Organization Name: | HUASHI EYEWEAR |
Other - Org Name: | J&C OPTICAL |
Other - Org Type: | Doing Business As |
Authorized Official - Title/Position: | OPTICIAN |
Authorized Official - Prefix: | |
Authorized Official - First Name: | SIUSHING |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | WONG |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | OPTICIAN |
Authorized Official - Phone: | 646-667-5496 |
Mailing Address - Street 1: | 5302 8 TH AVENUE |
Mailing Address - Street 2: | |
Mailing Address - City: | BROOKLYN |
Mailing Address - State: | NY |
Mailing Address - Zip Code: | 11220 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 718-854-1888 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 5302 8TH AVE |
Practice Address - Street 2: | |
Practice Address - City: | BROOKLYN |
Practice Address - State: | NY |
Practice Address - Zip Code: | 11220-6849 |
Practice Address - Country: | US |
Practice Address - Phone: | 718-854-1888 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2016-05-10 |
Last Update Date: | 2016-05-10 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
NY | 009562-1 | 156FX1800X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 156FX1800X | Eye and Vision Services Providers | Technician/Technologist | Optician | Group - Single Specialty |