Provider Demographics
NPI:1205511599
Name:EYE BOX OPTOMETRY
Entity type:Organization
Organization Name:EYE BOX OPTOMETRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:GOSWICK
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:332-233-5950
Mailing Address - Street 1:PO BOX 26602
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11202-6602
Mailing Address - Country:US
Mailing Address - Phone:332-233-5950
Mailing Address - Fax:
Practice Address - Street 1:276 3RD AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010
Practice Address - Country:US
Practice Address - Phone:332-233-5950
Practice Address - Fax:332-232-3080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-15
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty