Provider Demographics
NPI:1992997936
Name:MANHATTAN EYEWEAR INC
Entity type:Organization
Organization Name:MANHATTAN EYEWEAR INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/OPTICIAN
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:HAYDEN
Authorized Official - Last Name:DUNN
Authorized Official - Suffix:
Authorized Official - Credentials:LDO
Authorized Official - Phone:239-465-0180
Mailing Address - Street 1:5926 PREMIER WAY STE 112
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34109-7807
Mailing Address - Country:US
Mailing Address - Phone:239-465-0180
Mailing Address - Fax:239-465-0185
Practice Address - Street 1:5926 PREMIER WAY STE 112
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34109-7807
Practice Address - Country:US
Practice Address - Phone:239-465-0180
Practice Address - Fax:239-465-0185
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-14
Last Update Date:2007-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOE 1602332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier