MEDICARE: SENSUAL EYES INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332H00000X	Eyewear Supplier	31TD00108500	NJ

General Provider Information

NPI Number	:	1457483877
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SENSUAL EYES INC.

Provider Business Mailing Address
First Line	:	565 ROUTE 23
Second Line	:
City	:	POMPTON PLAINS
State	:	NJ
Zip	:	07444-1419
Country	:	US
Telephone Number	:	973-839-1865
Fax Number	:	973-839-5138

Provider Business Practice Location Address
First Line	:	565 RTE 23
Second Line	:
City	:	POMPTON PLAINS
State	:	NJ
Zip	:	07444-1419
Country	:	US
Telephone Number	:	973-839-1865
Fax Number	:	973-839-5138

Authorized Official
Title or Position	:	OWNER
Name	:	MR. MICHAEL C HIGGINS SR.
Credential	:	OPTICIAN
Telephone Number	:	973-839-1865

Provider Enumeration Date	:	03/12/2007
Last Update Date	:	10/17/2008

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Directions to “SENSUAL EYES INC. ” Practice Location

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