Provider Demographics
NPI:1518359223
Name:EMERGING VISION INC.
Entity Type:Organization
Organization Name:EMERGING VISION INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEI
Authorized Official - Middle Name:
Authorized Official - Last Name:WADE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-792-8167
Mailing Address - Street 1:520 8TH AVE
Mailing Address - Street 2:23RD FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10018-6507
Mailing Address - Country:US
Mailing Address - Phone:212-792-8617
Mailing Address - Fax:646-448-3327
Practice Address - Street 1:5570 XAVIER DR
Practice Address - Street 2:CROSS COUNTY SHOPPING CENTER
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10704-1322
Practice Address - Country:US
Practice Address - Phone:914-968-6600
Practice Address - Fax:914-968-6651
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-04
Last Update Date:2015-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier