Provider Demographics
NPI:1942351879
Name:EYEBIZNET, INC.
Entity Type:Organization
Organization Name:EYEBIZNET, INC.
Other - Org Name:RIDGEWOOD OPTICIANS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPTICIAN
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:COHEN
Authorized Official - Suffix:
Authorized Official - Credentials:LOD
Authorized Official - Phone:718-386-8900
Mailing Address - Street 1:5905 71ST AVE
Mailing Address - Street 2:
Mailing Address - City:RIDGEWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:11385-5655
Mailing Address - Country:US
Mailing Address - Phone:718-386-8900
Mailing Address - Fax:718-386-8400
Practice Address - Street 1:5905 71ST AVE
Practice Address - Street 2:
Practice Address - City:RIDGEWOOD
Practice Address - State:NY
Practice Address - Zip Code:11385-5655
Practice Address - Country:US
Practice Address - Phone:718-386-8900
Practice Address - Fax:718-386-8400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02217949Medicaid