Healthcare Provider Details

I. General information

NPI: 1154886380
Provider Name (Legal Business Name): EYE GENIUS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2019
Last Update Date: 02/01/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

53 1/2 MOTT ST
NEW YORK NY
10013-5006
US

IV. Provider business mailing address

53 1/2 MOTT ST
NEW YORK NY
10013-5006
US

V. Phone/Fax

Practice location:
  • Phone: 212-788-8898
  • Fax: 914-214-1298
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: ARTHUR CHEN
Title or Position: OPTOMETRIST
Credential: OD
Phone: 646-573-2039