Provider Demographics
NPI:1477683605
Name:NEW CITY EYES, INC.
Entity Type:Organization
Organization Name:NEW CITY EYES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:GRITZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-638-1234
Mailing Address - Street 1:191 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956-3339
Mailing Address - Country:US
Mailing Address - Phone:845-638-1234
Mailing Address - Fax:845-638-4136
Practice Address - Street 1:191 S MAIN ST
Practice Address - Street 2:
Practice Address - City:NEW CITY
Practice Address - State:NY
Practice Address - Zip Code:10956-3339
Practice Address - Country:US
Practice Address - Phone:845-638-1234
Practice Address - Fax:845-638-4136
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
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