Organization Name: | EYESWEST OPTICAL, INC. |
NPI Number: | 1669532297 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SCOTT A FINEMAN (PRESIDENT) |
Mailing Address: | 12801 W Bell Rd Suite 139 Surprise |
State: | AZ US |
Postal Code: | 853789797 |
Phone Number: | 6235830377 |
Fax Number: | 6235830378 |
NPI Enumeration Date: | 12/12/2006 |
NPI Last Update Date: | 04/29/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | 627 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
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. |