Eyeconic Optical

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

EYECONIC OPTICAL

Doing business as

Eyeconic Optical

Practice address

612 N Dupont Blvd
Milford, DE 19963-1002

Phone

(106) 462-1668

NPI assigned

May 19, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brian Pietruszewski

Title

Owner

Phone

(610) 462-1668

Specialties & licenses 1

Addresses

Other names 1

• Eyeconic Optical Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1589846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589846400000",
    "number": "1306469911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1069 W BIRDIE LN",
            "city": "MAGNOLIA",
            "state": "DE",
            "postal_code": "199623111",
            "telephone_number": "610-462-1668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 N DUPONT BLVD",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199631002",
            "telephone_number": "106-462-1668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYECONIC OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-19",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A",
        "authorized_official_last_name": "PIETRUSZEWSKI",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-462-1668"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyeconic Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Eyewear Supplier in Milford, DE
• Providers in Milford, DE by specialty
• Eyewear Supplier in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.