Provider Demographics
NPI:1821515636
Name:EASTERN EYE CARE OPTOMETRY, PLLC
Entity Type:Organization
Organization Name:EASTERN EYE CARE OPTOMETRY, PLLC
Other - Org Name:EASTERN EYE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WEI
Authorized Official - Middle Name:
Authorized Official - Last Name:ZHANG
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:814-404-2481
Mailing Address - Street 1:63 BERKSHIRE RD
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11023-1438
Mailing Address - Country:US
Mailing Address - Phone:814-404-2481
Mailing Address - Fax:
Practice Address - Street 1:144-15 41ST AVENUE, SUITE L4
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355
Practice Address - Country:US
Practice Address - Phone:814-404-2481
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-23
Last Update Date:2017-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty