CUSTOM EYES INC. (NPI# 1992984504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992984504 |
| Entity Type | Organization |
| Organization Name | CUSTOM EYES INC. |
| Practice Address |
349 Independance Plaza Selden NY 11784 |
| Practice Telephone | 6317368969 |
| Mailing Telephone | 6317368969 |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2007-10-31 |
| Authorized Official Name | MR. SETH POLAN (OPTICIAN/OWNER) |
| Authorized Official Telephone | 6317368969 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | Managed Care Organizations |
| Street Address |
349 INDEPENDANCE PLAZA |
| City | SELDEN |
| State | NY |
| Zip Code | 11784 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144700113 | Taylor Mones | Occupational Therapist | 38 Sandy Lane, Selden, NY 11784 | 2018-08-18 |
| 1467942912 | Lisa Lucchese | Registered Nurse | 40 Kensington Avenue, Selden, NY 11784 | 2018-05-10 |
| 1194246629 | Jessica Ann Cutrone | Specialist | 13 Berkeley Ave, Selden, NY 11784 | 2017-07-06 |
| 1811429780 | Jennifer Kinsella | Registered Nurse | 553 College Road, Selden, NY 11784 | 2017-03-30 |
| 1932647781 | Kathleen A Reilly | Behavior Technician | 25 Buckskin Lane, Selden, NY 11784 | 2017-02-01 |
| 1942758933 | Claire Moore | Physician Assistant | 239 Boyle Rd Ste 7, Selden, NY 11784 | 2016-09-19 |
| 1104206051 | Anna Satalino | Psychologist | 163 South Evergreen Dr, Selden, NY 11784 | 2015-06-05 |
| 1275963597 | Rosalyn Grasparil | Physical Therapist | 260 Middle Country Rd Bldg 3 Suite 9-a, Selden, NY 11784 | 2013-11-22 |
| 1295002772 | Christian Leparto | Registered Nurse | 12 Elm Ct, Selden, NY 11784 | 2011-11-28 |
| 1275800260 | Maryse Leveque | Registered Nurse | 4 Richard Road, Selden, NY 11784 | 2011-11-19 |
| Find all providers in zip 11784 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
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| 1477092013 | Heather Makowski Rn Bsn | Point of Service | 53 Delham Ave, Buffalo, NY 14216-3308 | 2017-02-15 |
| 1124563879 | Pascale Gousseland, Ph.d | Point of Service | 117 E 71st St, Suite A, New York, NY 10021-4215 | 2017-01-04 |
| 1790229433 | Psychotherapy Practice | Point of Service | 836 Eastern Pkwy Apt 1b, Brooklyn, NY 11213-3515 | 2016-12-15 |
| 1003350349 | Restoration Salon and Spa | Point of Service | 425 French Road, Depew, NY 14043 | 2016-12-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.