MEDICARE: EYE APPEAL 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	7603	NY

General Provider Information

NPI Number	:	1548406895
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EYE APPEAL INC.

Provider Business Mailing Address
First Line	:	1508 SHEEPSHEAD BAY RD
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-3818
Country	:	US
Telephone Number	:	718-934-1123
Fax Number	:	718-934-2366

Provider Business Practice Location Address
First Line	:	1508 SHEEPSHEAD BAY RD
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-3818
Country	:	US
Telephone Number	:	718-934-1123
Fax Number	:	718-934-2366

Authorized Official
Title or Position	:	OWNER
Name	:	MR. KONSTANTIN URMAN
Credential	:
Telephone Number	:	718-934-1123

Provider Enumeration Date	:	12/16/2008
Last Update Date	:	12/15/2020

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