Provider Demographics
NPI:1437327145
Name:EYE-WEAR GLASSES INC
Entity Type:Organization
Organization Name:EYE-WEAR GLASSES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:BATTIPAGLIA
Authorized Official - Suffix:
Authorized Official - Credentials:LO835
Authorized Official - Phone:860-621-8215
Mailing Address - Street 1:55 MERIDEN AVE
Mailing Address - Street 2:SUITE 2F
Mailing Address - City:SOUTHINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06489-3238
Mailing Address - Country:US
Mailing Address - Phone:860-621-8215
Mailing Address - Fax:860-621-8215
Practice Address - Street 1:55 MERIDEN AVE
Practice Address - Street 2:SUITE 2F
Practice Address - City:SOUTHINGTON
Practice Address - State:CT
Practice Address - Zip Code:06489-3238
Practice Address - Country:US
Practice Address - Phone:860-621-8215
Practice Address - Fax:860-621-8215
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-15
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTL0835332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
0573560001Medicare NSC