Provider Demographics
NPI:1841259793
Name:EYE VALUES INC
Entity type:Organization
Organization Name:EYE VALUES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:K
Authorized Official - Last Name:NORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:631-957-0033
Mailing Address - Street 1:600 N WELLWOOD AVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:LINDENHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11757-2000
Mailing Address - Country:US
Mailing Address - Phone:631-957-0033
Mailing Address - Fax:631-957-2315
Practice Address - Street 1:600 N WELLWOOD AVE
Practice Address - Street 2:SUITE C
Practice Address - City:LINDENHURST
Practice Address - State:NY
Practice Address - Zip Code:11757-2000
Practice Address - Country:US
Practice Address - Phone:631-957-0033
Practice Address - Fax:631-957-2315
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-20
Last Update Date:2010-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004634152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0432860001OtherMEDICARE PTAN
NY02167691Medicaid
410036802OtherRAILROAD MEDICARE PTAN
NYB003683OtherM2 SUBMITTER NUMBER
410036802OtherRAILROAD MEDICARE PTAN
NY0432860001OtherMEDICARE PTAN
1801898937Medicare NSC
NY02167691Medicaid
C71031Medicare PIN
WZT7J1Medicare PIN
NYB003683OtherM2 SUBMITTER NUMBER
1801898937Medicare PIN
1265415160Medicare PIN