Provider Demographics
NPI:1568085496
Name:EYEQ VISION GROUP INC
Entity Type:Organization
Organization Name:EYEQ VISION GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NIKOLAY
Authorized Official - Middle Name:
Authorized Official - Last Name:BITSENKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-410-4776
Mailing Address - Street 1:593 E TREMONT AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10457-4727
Mailing Address - Country:US
Mailing Address - Phone:718-310-3303
Mailing Address - Fax:347-862-3893
Practice Address - Street 1:593 E TREMONT AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10457-4727
Practice Address - Country:US
Practice Address - Phone:718-310-3303
Practice Address - Fax:347-862-3893
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-27
Last Update Date:2020-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier