Provider Demographics
NPI:1134346174
Name:EYES BY CLAUDINE, INC.
Entity type:Organization
Organization Name:EYES BY CLAUDINE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:CLAUDIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-428-0300
Mailing Address - Street 1:THE GALLERIA
Mailing Address - Street 2:100 MAIN STREET
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10601
Mailing Address - Country:US
Mailing Address - Phone:914-428-0300
Mailing Address - Fax:914-948-4392
Practice Address - Street 1:THE GALLERIA
Practice Address - Street 2:100 MAIN STREET
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10601
Practice Address - Country:US
Practice Address - Phone:914-428-0300
Practice Address - Fax:914-948-4392
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-19
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001250-1152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
=========OtherTAX ID#