Provider Demographics
NPI:1871654129
Name:EYECON INC
Entity type:Organization
Organization Name:EYECON INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:BERNSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-535-7007
Mailing Address - Street 1:4304 ALTON RD
Mailing Address - Street 2:LOWENSTEIN BLDG MAILBOX 432
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-2885
Mailing Address - Country:US
Mailing Address - Phone:305-535-7007
Mailing Address - Fax:305-535-7021
Practice Address - Street 1:4304 ALTON RD
Practice Address - Street 2:LOWENSTEIN BLDG MAILBOX 119
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-2885
Practice Address - Country:US
Practice Address - Phone:305-535-7007
Practice Address - Fax:305-535-7021
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty
Not Answered332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
4759330001Medicare ID - Type Unspecified