Organization Name: | STYLISH EYES INC. |
NPI Number: | 1659456176 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PATRICIA H PRINCE (OWNER,OPTICIAN) |
Mailing Address: | 266d N. Main St. Kilmarnock |
State: | VA US |
Postal Code: | 22482 |
Phone Number: | 8044352620 |
Fax Number: | 8044352620 |
NPI Enumeration Date: | 10/25/2006 |
NPI Last Update Date: | 01/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FX1800X |
License Number: | 1101001436 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Optician |
Taxonomy Definition: |