Healthcare Provider Details

I. General information

NPI: 1417557976
Provider Name (Legal Business Name): EYEVIEW OPTICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2020
Last Update Date: 09/07/2022
Certification Date: 09/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3702 MAIN ST # F1
FLUSHING NY
11354-4107
US

IV. Provider business mailing address

3702 MAIN ST # F1
FLUSHING NY
11354-4107
US

V. Phone/Fax

Practice location:
  • Phone: 718-799-0239
  • Fax:
Mailing address:
  • Phone: 718-799-0239
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code156FC0800X
TaxonomyContact Lens Technician/Technologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code156FX1100X
TaxonomyOphthalmic Technician/Technologist
License Number
License Number State

VIII. Authorized Official

Name: HAU YI WONG
Title or Position: PRESIDENT
Credential:
Phone: 718-799-0239