| Organization Name: | EYESAVERS EYEWEAR INC |
| NPI Number: | 1164550257 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL MAINELLA (OWNER OPTICIAN) |
| Mailing Address: | 11951 Southern Blvd Royal Palm Beach |
| State: | FL US |
| Postal Code: | 334117619 |
| Phone Number: | 5615141865 |
| Fax Number: | 5615141855 |
| NPI Enumeration Date: | 03/01/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156FX1800X |
| License Number: | FL2073 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | Optician |
| Taxonomy Definition: | |