Provider Demographics
NPI:1043439003
Name:EYES TO YOU, INC.
Entity Type:Organization
Organization Name:EYES TO YOU, INC.
Other - Org Name:BISHOP OPTICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:TANNI
Authorized Official - Middle Name:
Authorized Official - Last Name:IRWIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-722-7254
Mailing Address - Street 1:PO BOX 2290
Mailing Address - Street 2:
Mailing Address - City:GALLUP
Mailing Address - State:NM
Mailing Address - Zip Code:87305-2290
Mailing Address - Country:US
Mailing Address - Phone:505-722-7254
Mailing Address - Fax:505-863-4266
Practice Address - Street 1:1500 S 2ND ST
Practice Address - Street 2:SUITE 6
Practice Address - City:GALLUP
Practice Address - State:NM
Practice Address - Zip Code:87301-5862
Practice Address - Country:US
Practice Address - Phone:505-722-7254
Practice Address - Fax:505-863-4266
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM05486521Medicaid
NM67072224Medicaid