Eye Candy Optical II, LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

EYE CANDY OPTICAL II, LLC

Doing business as

Eye Candy Optical

Practice address

400 Park Ave Ste 192
Beachwood, OH 44122-4234

Phone

(216) 600-1615

Fax

(440) 250-9227

NPI assigned

Jun 22, 2019

Last updated

Jun 22, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Anton Syzdykov, ABO. MBA

Title

General Manager

Phone

(216) 600-1615

Specialties & licenses 1

Addresses

Other names 1

• Eye Candy Optical Doing business as

Locations

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

{
    "created_epoch": "1561161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561161600000",
    "number": "1386205268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 PARK AVE STE 192",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224234",
            "telephone_number": "216-600-1615",
            "fax_number": "440-250-9227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 PARK AVE STE 192",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224234",
            "telephone_number": "216-600-1615",
            "fax_number": "440-250-9227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CANDY OPTICAL II, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-22",
        "last_updated": "2019-06-22",
        "status": "A",
        "authorized_official_last_name": "SYZDYKOV",
        "authorized_official_first_name": "ANTON",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "216-600-1615",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ABO. MBA"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Candy Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Frank Ezzo, PH.D.
• F&S Apex, Inc

• Eyewear Supplier in Beachwood, OH
• Providers in Beachwood, OH by specialty
• Eyewear Supplier in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2019; 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.