Provider Demographics
NPI:1518492198
Name:EYE LEVEL OPTICS YONKERS,INC
Entity Type:Organization
Organization Name:EYE LEVEL OPTICS YONKERS,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-294-0320
Mailing Address - Street 1:442 S BROADWAY
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10705-2339
Mailing Address - Country:US
Mailing Address - Phone:914-294-0320
Mailing Address - Fax:914-294-0321
Practice Address - Street 1:442 S BROADWAY
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10705-2339
Practice Address - Country:US
Practice Address - Phone:914-294-0320
Practice Address - Fax:914-294-0321
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-20
Last Update Date:2017-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYT0045261261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center