Organization Name: | EYES FOR YOU INC |
NPI Number: | 1215141841 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JUNE M GORDON (OPTICIAN) |
Mailing Address: | 160 Cherry Point Mall Sturgeon Bay |
State: | WI US |
Postal Code: | 54235 |
Phone Number: | 9207430101 |
Fax Number: | 9207468519 |
NPI Enumeration Date: | 05/10/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FX1800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Optician |
Taxonomy Definition: |