Healthcare Provider Details

I. General information

NPI: 1851443402
Provider Name (Legal Business Name): EYECATCHERS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

580 AMSTERDAM AVE
NEW YORK NY
10024
US

IV. Provider business mailing address

580 AMSTERDAM AVE
NEW YORK NY
10024
US

V. Phone/Fax

Practice location:
  • Phone: 212-865-5551
  • Fax: 212-932-3980
Mailing address:
  • Phone: 212-865-5551
  • Fax: 212-932-3980

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code156FX1800X
TaxonomyOptician
License Number0050181
License Number StateNY

VIII. Authorized Official

Name: MR. STEPHEN FRANCIS PALAHNUK
Title or Position: MANAGER
Credential: OPTICIAN
Phone: 212-865-5551