Healthcare Provider Details

I. General information

NPI: 1740321983
Provider Name (Legal Business Name): TSE EYEWEAR,INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2007
Last Update Date: 10/12/2023
Certification Date: 10/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 MOTT ST
NEW YORK NY
10013-5021
US

IV. Provider business mailing address

33 MOTT ST
NEW YORK NY
10013-5021
US

V. Phone/Fax

Practice location:
  • Phone: 212-349-8688
  • Fax: 212-587-8636
Mailing address:
  • Phone: 212-349-8688
  • Fax: 212-587-8636

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 Number008732
License Number StateNY

VIII. Authorized Official

Name: DR. WILLIAM LING
Title or Position: SECRETARY
Credential: O.D.
Phone: 212-349-8688