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EMANI & DIVINE EYES INC. NPI 1427351485


NPI Information

NPI: 1427351485
Provider Name: EMANI & DIVINE EYES, INC.
Classification: Point of Service - 305S00000X
Entity Type: Organization
Address:
97-04 ROCKAWAY BEACH BLVD
ROCKAWAY BEACH, NY
ZIP 11693
Phone: (718) 474-0064
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EMANI & DIVINE EYES, INC. is a point of service in Rockaway Beach, NY. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. EMANI & DIVINE EYES, INC. NPI is 1427351485. The provider is registered as an organization entity type.

The provider's business location address is:

97-04 ROCKAWAY BEACH BLVD
ROCKAWAY BEACH, NY
ZIP 11693-313
Phone: (718) 474-0064

The provider's authorized official is Howard Randolph Ellison .
The authorized official title is Optician and has the following contact phone number (917) 291-2370.

The enumeration date for this NPI number is 12/14/2010 and was last updated on 12/14/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1305S00000XPoint of Service0066601NEW YORKNo
2305S00000XPoint of Service008765NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11023325107MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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