Provider Demographics
NPI:1477957322
Name:METRO OPTICS THROGS NECK INC
Entity Type:Organization
Organization Name:METRO OPTICS THROGS NECK INC
Other - Org Name:METRO OPTICS EYEWEAR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:EVA
Authorized Official - Middle Name:
Authorized Official - Last Name:YAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:718-597-6162
Mailing Address - Street 1:815 HUTCHINSON RIVER PKWY
Mailing Address - Street 2:SUITE 797
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10465-1818
Mailing Address - Country:US
Mailing Address - Phone:718-569-5680
Mailing Address - Fax:
Practice Address - Street 1:815 HUTCHINSON RIVER PKWY
Practice Address - Street 2:SUITE 797
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10465-1818
Practice Address - Country:US
Practice Address - Phone:718-569-5680
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-20
Last Update Date:2014-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV004217152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty