Provider Demographics
NPI:1366175184
Name:EYE & GLASSES OPTICAL INC
Entity type:Organization
Organization Name:EYE & GLASSES OPTICAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YUNSIK
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-321-1500
Mailing Address - Street 1:45-19B 162ND STREET
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11358-3297
Mailing Address - Country:US
Mailing Address - Phone:718-321-1500
Mailing Address - Fax:718-888-7739
Practice Address - Street 1:45-19B 162ND STREET
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11358-3297
Practice Address - Country:US
Practice Address - Phone:718-321-1500
Practice Address - Fax:718-888-7739
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-08
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty