| Organization Name: | EYE HEALTH VISION CENTERS, LLC |
| NPI Number: | 1336246941 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STEPHEN F SULLIVAN (OWNER) |
| Mailing Address: | 70 Huttleston Ave Fairhaven |
| State: | MA US |
| Postal Code: | 027193140 |
| Phone Number: | 5089942020 |
| Fax Number: | 5089916082 |
| NPI Enumeration Date: | 09/19/2006 |
| NPI Last Update Date: | 07/21/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156FX1800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MA |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | Optician |
| Taxonomy Definition: | |