Provider Demographics
NPI:1497813547
Name:EYE MAX OPTICAL INC
Entity Type:Organization
Organization Name:EYE MAX OPTICAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:
Authorized Official - Last Name:SINOWAY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:718-733-6700
Mailing Address - Street 1:1E FORDHAM ROAD
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10468
Mailing Address - Country:US
Mailing Address - Phone:718-733-6700
Mailing Address - Fax:718-733-2756
Practice Address - Street 1:1E FORDHAM ROAD
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10468
Practice Address - Country:US
Practice Address - Phone:718-733-6700
Practice Address - Fax:718-733-2756
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-04
Last Update Date:2017-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY59C0306OtherCOMMUNITY PREMIER PLUS
NY59C0306OtherCOMMUNITY PREMIER PLUS