Provider Demographics
NPI:1912087461
Name:ALL ABOUT EYES OF SAYVILLE, INC.
Entity Type:Organization
Organization Name:ALL ABOUT EYES OF SAYVILLE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:J
Authorized Official - Last Name:GRASSO
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:631-589-5544
Mailing Address - Street 1:22 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SAYVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11782-3104
Mailing Address - Country:US
Mailing Address - Phone:631-589-5544
Mailing Address - Fax:631-218-0919
Practice Address - Street 1:22 S MAIN ST
Practice Address - Street 2:
Practice Address - City:SAYVILLE
Practice Address - State:NY
Practice Address - Zip Code:11782-3104
Practice Address - Country:US
Practice Address - Phone:631-589-5544
Practice Address - Fax:631-218-0919
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Not Answered156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty