Provider Demographics
NPI:1679892459
Name:EROS OPTIKS
Entity type:Organization
Organization Name:EROS OPTIKS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:PARASKEVI
Authorized Official - Middle Name:
Authorized Official - Last Name:MOUNDROS
Authorized Official - Suffix:
Authorized Official - Credentials:ABOC
Authorized Official - Phone:718-406-9885
Mailing Address - Street 1:29 20A 23 AVENUE
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11105
Mailing Address - Country:US
Mailing Address - Phone:718-406-9885
Mailing Address - Fax:718-406-9859
Practice Address - Street 1:29-20A 23 AVENUE
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11105
Practice Address - Country:US
Practice Address - Phone:718-406-9885
Practice Address - Fax:718-406-9859
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-19
Last Update Date:2010-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156F00000XEye and Vision Services ProvidersTechnician/TechnologistGroup - Single Specialty