| Organization Name: | EAGLE EYE DME LLC |
| NPI Number: | 1013143411 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SYLVIA TESS GURLEY (OWNER/DIRECTOR) |
| Mailing Address: | 11240 Hwy 57 Counce |
| State: | TN US |
| Postal Code: | 38326 |
| Phone Number: | 6626651905 |
| Fax Number: | |
| NPI Enumeration Date: | 06/01/2009 |
| NPI Last Update Date: | 02/01/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BC3200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Customized Equipment |
| Taxonomy Definition: | |