Underground Eyewear Inc

LBN: Underground Eyewear Inc
Underground Eyewear Inc is an health care organization with primary practice located at 4807 Church Ave , Brooklyn NY 11203-3334. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Underground Eyewear Inc can be contacted via phone (718) 282-8363, or through Parkin, Desmond via phone (718) 282-8363.

Contact Information

Primary practice address
4807 Church Ave Brooklyn NY 11203-3334
Fax: (718) 282-7630
Website:
Authorized official contact:
Name: Parkin, Desmond Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X TUV004926 New York

Profile Details

NPI number 1659325231
LBN Legal business name Underground Eyewear Inc
DBA Doing business as
Authorized official Parkin, Desmond Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date May 19th, 2006
Last updated Dec 3rd, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659325231 NPPES
New York MEDICAID 01765782

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