Provider Demographics
NPI:1740457142
Name:JAMES LEONARD EYES INC
Entity type:Organization
Organization Name:JAMES LEONARD EYES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PUNEET
Authorized Official - Middle Name:
Authorized Official - Last Name:RASTOGI
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:212-753-7733
Mailing Address - Street 1:1010 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-4966
Mailing Address - Country:US
Mailing Address - Phone:212-753-7733
Mailing Address - Fax:212-753-2677
Practice Address - Street 1:1010 2ND AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-4966
Practice Address - Country:US
Practice Address - Phone:212-753-7733
Practice Address - Fax:212-753-2677
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-14
Last Update Date:2011-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier