Provider Demographics
NPI:1033584008
Name:EYE ARMOR, INC.
Entity Type:Organization
Organization Name:EYE ARMOR, INC.
Other - Org Name:SEARS OPTICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:G
Authorized Official - Last Name:MATHERN
Authorized Official - Suffix:JR
Authorized Official - Credentials:DO
Authorized Official - Phone:571-238-4096
Mailing Address - Street 1:30 BIG SPRING LANE
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:VA
Mailing Address - Zip Code:22554
Mailing Address - Country:US
Mailing Address - Phone:571-238-4096
Mailing Address - Fax:540-657-4598
Practice Address - Street 1:100 SPOTSYLVANIA MALL
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22407
Practice Address - Country:US
Practice Address - Phone:540-289-2020
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-02
Last Update Date:2015-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1101001797332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier