Provider Demographics
NPI:1689168080
Name:EYELEX, INC
Entity Type:Organization
Organization Name:EYELEX, INC
Other - Org Name:ULTIMATE SPECTACLE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:INCORPORATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:YANA
Authorized Official - Middle Name:
Authorized Official - Last Name:GADAYEVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-792-8123
Mailing Address - Street 1:789 LEXINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-8163
Mailing Address - Country:US
Mailing Address - Phone:212-792-8123
Mailing Address - Fax:212-355-3515
Practice Address - Street 1:789 LEXINGTON AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-8163
Practice Address - Country:US
Practice Address - Phone:212-792-8123
Practice Address - Fax:212-355-3515
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-19
Last Update Date:2018-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier