=====================================================
General NPI Number Information
=====================================================
NPI Number | 1205511599
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | EYE BOX OPTOMETRY PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/15/2023
-----------------------------------------------------
Last Update Date | 02/10/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 276 3RD AVE
-----------------------------------------------------
City | NEW YORK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10010
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 332-233-5950
-----------------------------------------------------
Fax | 332-232-3080
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 26602
-----------------------------------------------------
City | BROOKLYN
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11202-6602
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 332-233-5950
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. CHRISTOPHER GOSWICK
-----------------------------------------------------
Credential | OD
-----------------------------------------------------
Telephone | 332-233-5950
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 152W00000X
-----------------------------------------------------
Taxonomy Name | Optometrist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------