Provider Demographics
NPI:1114108826
Name:THE EYE CONCERN INC
Entity Type:Organization
Organization Name:THE EYE CONCERN INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOELYNN
Authorized Official - Middle Name:
Authorized Official - Last Name:HADLOCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-962-5841
Mailing Address - Street 1:1450 S DOBSON RD
Mailing Address - Street 2:A 206
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85202-4712
Mailing Address - Country:US
Mailing Address - Phone:480-962-5841
Mailing Address - Fax:480-649-9975
Practice Address - Street 1:1450 S DOBSON RD
Practice Address - Street 2:A 206
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85202-4712
Practice Address - Country:US
Practice Address - Phone:480-962-5841
Practice Address - Fax:480-649-9975
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-21
Last Update Date:2011-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ0253890001Medicare NSC