Provider Demographics
NPI:1740480508
Name:SUNRISE EYES INC
Entity type:Organization
Organization Name:SUNRISE EYES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:DOMINICK
Authorized Official - Middle Name:A
Authorized Official - Last Name:FALGIANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-781-5783
Mailing Address - Street 1:2210 SUNRISE MALL
Mailing Address - Street 2:
Mailing Address - City:MASSAPEQUA
Mailing Address - State:NY
Mailing Address - Zip Code:11758
Mailing Address - Country:US
Mailing Address - Phone:516-795-2112
Mailing Address - Fax:516-795-2167
Practice Address - Street 1:2210 SUNRISE MALL
Practice Address - Street 2:
Practice Address - City:MASSAPEQUA
Practice Address - State:NY
Practice Address - Zip Code:11758
Practice Address - Country:US
Practice Address - Phone:516-795-2112
Practice Address - Fax:516-795-2167
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-20
Last Update Date:2013-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Multi-Specialty