Provider Demographics
NPI:1427220888
Name:EMERGING VISION
Entity Type:Organization
Organization Name:EMERGING VISION
Other - Org Name:STERLING OPTICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MR
Authorized Official - First Name:MYLES
Authorized Official - Middle Name:
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-390-2101
Mailing Address - Street 1:100 QUENTIN ROOSEVELT BLVD
Mailing Address - Street 2:SUITE 508
Mailing Address - City:GARDEN CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11530-4843
Mailing Address - Country:US
Mailing Address - Phone:516-390-2115
Mailing Address - Fax:
Practice Address - Street 1:3801 D BRANCH AVE
Practice Address - Street 2:IVERSON MALL
Practice Address - City:TEMPLE HILLS
Practice Address - State:MD
Practice Address - Zip Code:20748
Practice Address - Country:US
Practice Address - Phone:301-899-1454
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-26
Last Update Date:2008-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1100XEye and Vision Services ProvidersTechnician/TechnologistOphthalmicGroup - Single Specialty