Provider Demographics
NPI:1639592306
Name:ACE FASHION OPTICAL INC.
Entity Type:Organization
Organization Name:ACE FASHION OPTICAL INC.
Other - Org Name:GENERAL VISION SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EITAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALIAV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-801-2400
Mailing Address - Street 1:330 E FORDHAM RD
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10458-5030
Mailing Address - Country:US
Mailing Address - Phone:917-801-2400
Mailing Address - Fax:917-801-2404
Practice Address - Street 1:330 E FORDHAM RD
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10458-5030
Practice Address - Country:US
Practice Address - Phone:917-801-2400
Practice Address - Fax:917-801-2404
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-30
Last Update Date:2014-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier