Provider Demographics
NPI:1750331435
Name:EYE HEALTH ASSOCIATES INC
Entity Type:Organization
Organization Name:EYE HEALTH ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:NINA
Authorized Official - Middle Name:
Authorized Official - Last Name:BENDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-632-2020
Mailing Address - Street 1:170 MAPLE RD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-2930
Mailing Address - Country:US
Mailing Address - Phone:716-632-2020
Mailing Address - Fax:716-626-6669
Practice Address - Street 1:170 MAPLE RD
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-2930
Practice Address - Country:US
Practice Address - Phone:716-632-2020
Practice Address - Fax:716-626-6669
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-11
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1421201R261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00011285302OtherUNIVERA
NY00000045800OtherBLUE CROSS & BLUE SHIELD
NY3ZOtherINDEPENDENT HEALTH ASSOC.
NY02065956Medicaid
NY=========OtherTRICARE FOR LIFE
NY=========OtherMERITAN HEALTH
NY00000045800OtherBLUE CROSS & BLUE SHIELD
NY=========OtherAETNA
NY02065956Medicaid
NY3ZOtherINDEPENDENT HEALTH ASSOC.
NY=========OtherFIRST UNITED AMERICAN LIF
NY=========OtherGHI (GROUP HEALTH INC)
NY=========OtherPOMCO
NY=========OtherFIRST UNITED AMERICAN LIF