FOR EYES OPTICAL OF PA NPI 1407594690

NPI Information

NPI: 1407594690
Provider Name: FOR EYES OPTICAL OF PA
Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
1109 S PARK ST STE 20
CARROLLTON, GA
ZIP 30117
Phone: (305) 557-9004
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FOR EYES OPTICAL OF PA is an eyewear supplier in Carrollton, GA. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. FOR EYES OPTICAL OF PA NPI is 1407594690. The provider is registered as an organization entity type.

The provider's business location address is:

1109 S PARK ST STE 20
CARROLLTON, GA
ZIP 30117-462
Phone: (305) 557-9004
Fax: (855) 881-9434

The provider's authorized official is Jorge Gervasi .
The authorized official title is Ceo and has the following contact phone number (305) 557-9004.

The enumeration date for this NPI number is 5/26/2022 and was last updated on 5/26/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332H00000X	Eyewear Supplier				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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