Provider Demographics
NPI:1679872659
Name:STYLE-EYES BY JENNIFER INC.
Entity type:Organization
Organization Name:STYLE-EYES BY JENNIFER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:FRANCO
Authorized Official - Last Name:CHAIKEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-249-1976
Mailing Address - Street 1:625 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-7326
Mailing Address - Country:US
Mailing Address - Phone:212-249-1976
Mailing Address - Fax:212-249-3712
Practice Address - Street 1:625 PARK AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-7326
Practice Address - Country:US
Practice Address - Phone:212-249-1976
Practice Address - Fax:212-249-3712
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-16
Last Update Date:2011-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY5669156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty