Provider Demographics
NPI:1548406895
Name:EYE APPEAL INC.
Entity Type:Organization
Organization Name:EYE APPEAL INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:KONSTANTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:URMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-934-1123
Mailing Address - Street 1:1508 SHEEPSHEAD BAY RD
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-3818
Mailing Address - Country:US
Mailing Address - Phone:718-934-1123
Mailing Address - Fax:718-934-2366
Practice Address - Street 1:1508 SHEEPSHEAD BAY RD
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-3818
Practice Address - Country:US
Practice Address - Phone:718-934-1123
Practice Address - Fax:718-934-2366
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-16
Last Update Date:2020-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY7603332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA100000897Medicare PIN
NY0360220001Medicare NSC