Provider Demographics
NPI:1457483877
Name:SENSUAL EYES INC.
Entity Type:Organization
Organization Name:SENSUAL EYES INC.
Other - Org Name:HIGGINS OPTICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:C
Authorized Official - Last Name:HIGGINS
Authorized Official - Suffix:SR
Authorized Official - Credentials:OPTICIAN
Authorized Official - Phone:973-839-1865
Mailing Address - Street 1:565 ROUTE 23
Mailing Address - Street 2:
Mailing Address - City:POMPTON PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07444-1419
Mailing Address - Country:US
Mailing Address - Phone:973-839-1865
Mailing Address - Fax:973-839-5138
Practice Address - Street 1:565 RTE 23
Practice Address - Street 2:
Practice Address - City:POMPTON PLAINS
Practice Address - State:NJ
Practice Address - Zip Code:07444-1419
Practice Address - Country:US
Practice Address - Phone:973-839-1865
Practice Address - Fax:973-839-5138
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-12
Last Update Date:2008-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ31TD00108500332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0893960001Medicare NSC