Provider Demographics
NPI:1710527981
Name:BRIGHT EYES OPTOMETRY
Entity Type:Organization
Organization Name:BRIGHT EYES OPTOMETRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SUMATI
Authorized Official - Middle Name:
Authorized Official - Last Name:DEUTSCHER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:914-355-4775
Mailing Address - Street 1:19 SYLVAN PL
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-2030
Mailing Address - Country:US
Mailing Address - Phone:914-355-4775
Mailing Address - Fax:914-355-4777
Practice Address - Street 1:51 E PROSPECT AVE
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:NY
Practice Address - Zip Code:10550-2225
Practice Address - Country:US
Practice Address - Phone:914-355-4775
Practice Address - Fax:914-355-4777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-15
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1467429035Medicaid
NY1174758395Medicaid