Provider Demographics
NPI:1972626075
Name:NEW YORK EYEWEAR, INC.
Entity Type:Organization
Organization Name:NEW YORK EYEWEAR, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:
Authorized Official - Last Name:COTLIAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-568-8600
Mailing Address - Street 1:130 FORT WASHINGTON AVE
Mailing Address - Street 2:SUITE 1M
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032-4724
Mailing Address - Country:US
Mailing Address - Phone:212-568-8600
Mailing Address - Fax:212-568-2600
Practice Address - Street 1:130 FORT WASHINGTON AVE
Practice Address - Street 2:SUITE 1M
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-4724
Practice Address - Country:US
Practice Address - Phone:212-568-8600
Practice Address - Fax:212-568-2600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY136628-1152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
=========OtherTAX ID#