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Contact Information

EYE SPARKLE OPTICAL CORPORATION
45 EASTDALE AVE N STE 102
POUGHKEEPSIE, NY12603-1796
 Phone: 845-471-7710
 Fax: 845-471-7746
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Contact Lens Fitter

156FC0801X
 

Eyewear Supplier

332H00000X 87 All Other Suppliers
 

Low Vision Rehabilitation

152WL0500X 41 Optometry
 

Optician

156FX1800X 96[5] Optician
Indicates primary specialty

NPI Profile & details for EYE SPARKLE OPTICAL CORPORATION · (Female)

NPI # 1952835167
Status Active
Credentials
Entity Individual
Enumeration date 04/13/2017
Last updated 04/30/2025 - More than a year ago
Sole proprietor 1 Not specified
Identifiers
  • NY Medicaid 05210802
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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