Provider Demographics
NPI:1376694323
Name:PHILIP SINOWAY
Entity Type:Organization
Organization Name:PHILIP SINOWAY
Other - Org Name:SIGHT N STYLE OPTICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:
Authorized Official - Last Name:SINOWAY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:718-855-0300
Mailing Address - Street 1:1 E FORDHAM RD
Mailing Address - Street 2:SIGHT N STYLE OPTICAL
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10468
Mailing Address - Country:US
Mailing Address - Phone:718-733-6700
Mailing Address - Fax:
Practice Address - Street 1:1359 ST NICHOLAS AVE
Practice Address - Street 2:ST NICHOLAS OPTICAL
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10033
Practice Address - Country:US
Practice Address - Phone:718-927-2408
Practice Address - Fax:212-568-7713
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2008-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
No332H00000XSuppliersEyewear SupplierGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00537857Medicaid