Provider Demographics
NPI:1952447278
Name:EMERGING VISION, INC
Entity Type:Organization
Organization Name:EMERGING VISION, INC
Other - Org Name:STERLING OPTICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:MYLES
Authorized Official - Middle Name:
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-390-2101
Mailing Address - Street 1:100 QUENTIN ROOSEVELT BLVD
Mailing Address - Street 2:SUITE 508
Mailing Address - City:GARDEN CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11530-4874
Mailing Address - Country:US
Mailing Address - Phone:516-390-2101
Mailing Address - Fax:516-390-2110
Practice Address - Street 1:120 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12210-2283
Practice Address - Country:US
Practice Address - Phone:914-968-6600
Practice Address - Fax:914-968-6600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY156FX1100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1100XEye and Vision Services ProvidersTechnician/TechnologistOphthalmicGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02579220Medicaid
NY02527104Medicaid
NY02527604Medicaid
NY02579179Medicaid