Provider Demographics
NPI:1891981817
Name:EYE SEE YOU OPTICAL
Entity Type:Organization
Organization Name:EYE SEE YOU OPTICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWMER/OPTICIAN
Authorized Official - Prefix:MR
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:
Authorized Official - Last Name:FROMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-253-9328
Mailing Address - Street 1:1371 CONEY ISLAND AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-4119
Mailing Address - Country:US
Mailing Address - Phone:718-253-9328
Mailing Address - Fax:718-253-9324
Practice Address - Street 1:1371 CONEY ISLAND AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-4119
Practice Address - Country:US
Practice Address - Phone:718-253-9328
Practice Address - Fax:718-253-9324
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-24
Last Update Date:2008-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYWZTWP1Medicare PIN
NY6021940001Medicare NSC