Organization Name: | EYE SAVE OPTICAL, INC |
NPI Number: | 1093919219 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KRYSTAL N WARNER (MANAGER ACCOUNTANT) |
Mailing Address: | 2801 South Columbia St Bogalusa |
State: | LA US |
Postal Code: | 704277915 |
Phone Number: | 9857353937 |
Fax Number: | 9857359000 |
NPI Enumeration Date: | 06/12/2007 |
NPI Last Update Date: | 03/15/2011 |
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: |