Provider Demographics
NPI:1427577899
Name:EYES AT A GLANCE LLC
Entity Type:Organization
Organization Name:EYES AT A GLANCE LLC
Other - Org Name:SEEING IS BELIEVING OPTICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:NYEGYPT
Authorized Official - Middle Name:
Authorized Official - Last Name:INNISS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-627-5081
Mailing Address - Street 1:1357 BROADWAY FL 1
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11221-3618
Mailing Address - Country:US
Mailing Address - Phone:347-291-3831
Mailing Address - Fax:
Practice Address - Street 1:1357 BROADWAY FL 1
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11221-3618
Practice Address - Country:US
Practice Address - Phone:347-291-3831
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-16
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty