| Organization Name: | EYEDEAS UNLIMITED INC |
| NPI Number: | 1144415274 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DIANE WHITE MAYNARD (OPTICIAN) |
| Mailing Address: | 2571 Springs Rd Ne Hickory |
| State: | NC US |
| Postal Code: | 286013169 |
| Phone Number: | 8282566620 |
| Fax Number: | 8282564970 |
| NPI Enumeration Date: | 09/11/2007 |
| NPI Last Update Date: | 12/26/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332H00000X |
| License Number: | 581 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |