Provider Demographics
NPI:1932403896
Name:EMERGING VISION, INC
Entity Type:Organization
Organization Name:EMERGING VISION, INC
Other - Org Name:STERLING OPTICAL # 233
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SAM
Authorized Official - Middle Name:
Authorized Official - Last Name:HERSKOWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-737-1515
Mailing Address - Street 1:520 8TH AVE
Mailing Address - Street 2:900
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10018-6507
Mailing Address - Country:US
Mailing Address - Phone:212-729-5345
Mailing Address - Fax:212-729-5382
Practice Address - Street 1:3940 ROUTE 251
Practice Address - Street 2:PERU MALL SUITE F-1
Practice Address - City:PERU
Practice Address - State:IL
Practice Address - Zip Code:61354
Practice Address - Country:US
Practice Address - Phone:815-220-1928
Practice Address - Fax:815-220-1925
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-06
Last Update Date:2011-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
01052011OtherAPPLICATION DATE