Provider Demographics
NPI:1548402746
Name:EYEGUYS LLP
Entity Type:Organization
Organization Name:EYEGUYS LLP
Other - Org Name:STAHL EYE ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:MARC
Authorized Official - Middle Name:
Authorized Official - Last Name:WERNER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-832-8000
Mailing Address - Street 1:450 ENDO BLVD
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11530-6723
Mailing Address - Country:US
Mailing Address - Phone:516-832-8000
Mailing Address - Fax:516-832-8379
Practice Address - Street 1:200 MOTOR PKWY
Practice Address - Street 2:SUITE D25
Practice Address - City:HAUPPAUGE
Practice Address - State:NY
Practice Address - Zip Code:11788-5100
Practice Address - Country:US
Practice Address - Phone:631-952-8000
Practice Address - Fax:631-952-8009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-02
Last Update Date:2009-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005353332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYW2L631OtherMEDICARE GROUP NUMBER