Provider Demographics
NPI:1548595283
Name:MYE DESIGNER EYEWEAR
Entity Type:Organization
Organization Name:MYE DESIGNER EYEWEAR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ELGIN
Authorized Official - Middle Name:
Authorized Official - Last Name:MCEACHIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-221-1660
Mailing Address - Street 1:1899 FULTON ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11233-3103
Mailing Address - Country:US
Mailing Address - Phone:718-221-1660
Mailing Address - Fax:718-221-1661
Practice Address - Street 1:1899 FULTON ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11233-3103
Practice Address - Country:US
Practice Address - Phone:718-221-1660
Practice Address - Fax:718-221-1661
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-14
Last Update Date:2009-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty