Provider Demographics
NPI:1154564201
Name:MY VISION AID
Entity type:Organization
Organization Name:MY VISION AID
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MOUNIR
Authorized Official - Middle Name:
Authorized Official - Last Name:SOBHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-216-5114
Mailing Address - Street 1:647 MCLEAN AVE
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10705-4736
Mailing Address - Country:US
Mailing Address - Phone:914-216-5114
Mailing Address - Fax:914-623-7445
Practice Address - Street 1:647 MCLEAN AVE
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10705-4736
Practice Address - Country:US
Practice Address - Phone:914-216-5114
Practice Address - Fax:914-623-7445
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-18
Last Update Date:2009-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier