Provider Demographics
NPI:1588101836
Name:B & E EYEWEAR INC
Entity type:Organization
Organization Name:B & E EYEWEAR INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BORIS
Authorized Official - Middle Name:
Authorized Official - Last Name:TAKHALOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-418-2730
Mailing Address - Street 1:59 MERRICK RD STE B
Mailing Address - Street 2:
Mailing Address - City:AMITYVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11701-3453
Mailing Address - Country:US
Mailing Address - Phone:631-485-3636
Mailing Address - Fax:516-493-9322
Practice Address - Street 1:59 MERRICK RD STE B
Practice Address - Street 2:
Practice Address - City:AMITYVILLE
Practice Address - State:NY
Practice Address - Zip Code:11701-3453
Practice Address - Country:US
Practice Address - Phone:631-485-3636
Practice Address - Fax:516-493-9322
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-25
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009414-1156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty