National Provider Identifier Database

IMPULSE DESIGNER EYEWEAR CORP
Optician


Contact Information

IMPULSE DESIGNER EYEWEAR CORP
83-19 BROADWAY
ELMHURST, NY11373
Phone: 718-271-1782
Fax:
Website:
Specialty Taxonomy Code
* Optician 156FX1800X
Contact Lens 156FC0800X
Contact Lens Fitter 156FC0801X
Eyewear Supplier 332H00000X
Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for IMPULSE DESIGNER EYEWEAR CORP

NPI Number 1669827960
Legal business name
LBN
IMPULSE DESIGNER EYEWEAR CORP
Authorized official SANDY WONG - (OPTICIAN)
Entity Organization
Organization subpart No
Enumeration date 04/25/2016
Last updated 04/25/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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