Provider Demographics
NPI:1972862506
Name:YONKERS EYEWEAR OPTICAL INC.
Entity Type:Organization
Organization Name:YONKERS EYEWEAR OPTICAL INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:NUNEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-203-8404
Mailing Address - Street 1:442 S BROADWAY
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10705-2339
Mailing Address - Country:US
Mailing Address - Phone:212-203-8404
Mailing Address - Fax:212-308-3217
Practice Address - Street 1:442 S BROADWAY
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10705-2339
Practice Address - Country:US
Practice Address - Phone:212-203-8404
Practice Address - Fax:212-308-3217
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-16
Last Update Date:2012-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier