Provider Demographics
NPI:1700422912
Name:EAGLE'S OPTICS INC.
Entity Type:Organization
Organization Name:EAGLE'S OPTICS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JIMMY
Authorized Official - Middle Name:
Authorized Official - Last Name:YEUNG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-358-8518
Mailing Address - Street 1:4128 MAIN ST # 7
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-3177
Mailing Address - Country:US
Mailing Address - Phone:718-358-8518
Mailing Address - Fax:
Practice Address - Street 1:4128 MAIN ST # 7
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-3177
Practice Address - Country:US
Practice Address - Phone:718-358-8518
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-22
Last Update Date:2019-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty