Provider Demographics
NPI:1821045469
Name:EYE GLASS CITY OF QUEENS
Entity Type:Organization
Organization Name:EYE GLASS CITY OF QUEENS
Other - Org Name:VISION WORLD EYE WORKS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/OPTICIAN
Authorized Official - Prefix:
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-225-0362
Mailing Address - Street 1:25469 HORACE HARDING EXPY
Mailing Address - Street 2:
Mailing Address - City:LITTLE NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11362-1816
Mailing Address - Country:US
Mailing Address - Phone:718-225-0362
Mailing Address - Fax:718-225-1137
Practice Address - Street 1:25469 HORACE HARDING EXPY
Practice Address - Street 2:
Practice Address - City:LITTLE NECK
Practice Address - State:NY
Practice Address - Zip Code:11362-1816
Practice Address - Country:US
Practice Address - Phone:718-225-0362
Practice Address - Fax:718-225-1137
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY4001156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01582705Medicaid
NY01582705Medicaid