Provider Demographics
NPI:1316474141
Name:EYE ASSOCIATES OF NEW YORK OPTOMETRY, PLLC
Entity type:Organization
Organization Name:EYE ASSOCIATES OF NEW YORK OPTOMETRY, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:ROCCO
Authorized Official - Last Name:ROBILOTTO
Authorized Official - Suffix:
Authorized Official - Credentials:OD,PHD
Authorized Official - Phone:212-650-4888
Mailing Address - Street 1:133 E 54TH ST STE 200
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-4538
Mailing Address - Country:US
Mailing Address - Phone:212-650-4888
Mailing Address - Fax:212-452-9009
Practice Address - Street 1:133 E 54TH ST STE 200
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-4538
Practice Address - Country:US
Practice Address - Phone:212-650-4888
Practice Address - Fax:212-452-9009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-11
Last Update Date:2018-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV007040152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty