EAO VISION SERVICES OF BROOKLYN INC (NPI# 1730691866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730691866 |
| Entity Type | Organization |
| Organization Name | EAO VISION SERVICES OF BROOKLYN INC |
| Other Organization Name | EYES & OPTICS ST. BARNABAS |
| Practice Address |
4487 3rd Ave Fl 6 Bronx NY 10457-1526 |
| Mailing Address |
2922 Avenue L Brooklyn NY 11210-4639 |
| Practice Telephone | 7189606341 |
| Practice Fax Number | 7189606338 |
| Mailing Telephone | 7185136911 |
| Mailing Fax Number | 7185136912 |
| Enumeration Date | 2017-10-30 |
| Last Update Date | 2020-02-24 |
| Authorized Official Name | SARAH NACHUM (BILLER/CREDENTIALING) |
| Authorized Official Telephone | 7185136911 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02098539 | 05 |
| Other Name | Type Code |
|---|---|
| Eyes & Optics St. Barnabas | Doing Business As Name - Organization |
| Street Address |
4487 3RD AVE FL 6 |
| City | BRONX |
| State | NY |
| Zip Code | 10457-1526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306250931 | Tyler Phan | Optometrist | 4487 3rd Ave Fl 6, Bronx, NY 10457-1526 | 2014-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346851722 | Aruna Muthumanickam | Student in an Organized Health Care Education/Training Program | 1650 Grand Concourse, The Bronx, New York City, NY 10457 | 2020-08-11 |
| 1013527753 | Cherine Awad | Student in an Organized Health Care Education/Training Program | 1650 Selwyn Avenue, Bronxcare Health System, Bronx, NY 10457 | 2020-08-07 |
| 1023626926 | Tolulope Oyinlola Olorunsogo | Student in an Organized Health Care Education/Training Program | 1650 Selwyn Avenue - Bronxcare Health System, Departmen, Suite 6h, Bronx, NY 10457 | 2020-07-16 |
| 1750999801 | Kalyan C Chilukuri | Student in an Organized Health Care Education/Training Program | Bronxcare Hospital Center, 1650 Grand Concourse, Bronx, NY 10457 | 2020-07-15 |
| 1003434457 | Nauri Estefani Abreu Roa | Student in an Organized Health Care Education/Training Program | Bronxlebanon Health System, 1650 Grand Concourse, Bronx, NY 10457 | 2020-07-13 |
| 1033737630 | Sapna Sharma | Student in an Organized Health Care Education/Training Program | St. Barnabas Hospital, 4422 Third Avenue Bronx, Bronx, NY 10457 | 2020-07-09 |
| 1194341081 | Asha Tadepalli | Optometrist | 1650 Selwyn Avenue, Suite 1c, Bronxcare Health System, Department of Ophthalmology, Bronx, NY 10457 | 2020-06-17 |
| 1578196549 | Ernesto Murray | Technician | 463 East 178st Apt#3b, Bronx New York, NY 10457 | 2020-02-19 |
| 1245891001 | Muhammad Shahzad | Student in an Organized Health Care Education/Training Program | St. Barnabas Health 4422 Third Avenue, Bronx, NY 10457 | 2019-06-24 |
| 1144886565 | Grant Joseph Gleason | Student in an Organized Health Care Education/Training Program | 4422 3rd Avenue St Barbabas Hospital Dept of Dentistry, Bronx, NY 10457 | 2019-05-10 |
| Find all providers in zip 10457 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386242360 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 184 W 237th St, Bronx, NY 10463-4102 | 2020-10-13 |
| 1265039853 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 610 Exterior St, Bronx, NY 10451-2044 | 2020-10-06 |
| 1912555814 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 250 Baychester Ave, Bronx, NY 10475-4575 | 2019-09-04 |
| 1952778979 | Marie S Jean | Eyewear Supplier (Equipment, not the service) | 544 E Fordham Rd, Bronx, NY 10458-5015 | 2015-08-25 |
| 1851768014 | Empire Vision Center, Inc. | Eyewear Supplier (Equipment, not the service) | 5520 Broadway, Bronx, NY 10463-5235 | 2015-08-24 |
| 1285028365 | Empire Vision Center, Inc. | Eyewear Supplier (Equipment, not the service) | 1445 Metropolitan Ave, Bronx, NY 10462-7400 | 2015-03-26 |
| 1518355767 | Bronx Vistasite Eyecare | Eyewear Supplier (Equipment, not the service) | 200 Baychester Ave Ste 212b, Bronx, NY 10475-4583 | 2014-12-22 |
| 1689072712 | Eyes & Optics Grand Inc | Eyewear Supplier (Equipment, not the service) | 213 E Fordham Rd, Bronx, NY 10458-5014 | 2014-12-05 |
| 1639592306 | Ace Fashion Optical Inc. | Eyewear Supplier (Equipment, not the service) | 330 E Fordham Rd, Bronx, NY 10458-5030 | 2014-01-30 |
| 1689912206 | Designer Optical of Pelham | Eyewear Supplier (Equipment, not the service) | 2196 White Plains Rd, Bronx, NY 10462-1406 | 2013-01-17 |
| Find all providers in BRONX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.