Provider Demographics
NPI:1427886019
Name:MY EYE CONSULTANTS PLLC
Entity type:Organization
Organization Name:MY EYE CONSULTANTS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:NORMAN
Authorized Official - Last Name:LU
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:212-991-8542
Mailing Address - Street 1:4410 S ROSEMARY PL
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85248-9109
Mailing Address - Country:US
Mailing Address - Phone:212-991-8542
Mailing Address - Fax:
Practice Address - Street 1:845 E WARNER RD STE 101
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85225-1058
Practice Address - Country:US
Practice Address - Phone:480-590-0505
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-24
Last Update Date:2024-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty