Organization Name: | EMANI & DIVINE EYES, INC. |
NPI Number: | 1427351485 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HOWARD RANDOLPH ELLISON (OPTICIAN) |
Mailing Address: | 97-04 Rockaway Beach Blvd Rockaway Beach |
State: | NY US |
Postal Code: | 116931313 |
Phone Number: | 7184740064 |
Fax Number: | |
NPI Enumeration Date: | 12/14/2010 |
NPI Last Update Date: | 12/14/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 305S00000X |
License Number: | 0066601 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Managed Care Organizations |
Taxonomy Classification: | Point of Service |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |