Provider Demographics
NPI:1114111986
Name:EHY, INC.
Entity Type:Organization
Organization Name:EHY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR.
Authorized Official - Prefix:DR
Authorized Official - First Name:EYAD
Authorized Official - Middle Name:HUSSEIN
Authorized Official - Last Name:YEHYAWI
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:319-393-7688
Mailing Address - Street 1:2274 HOLIDAY RD
Mailing Address - Street 2:
Mailing Address - City:CORALVILLE
Mailing Address - State:IA
Mailing Address - Zip Code:52241-2743
Mailing Address - Country:US
Mailing Address - Phone:319-520-7221
Mailing Address - Fax:
Practice Address - Street 1:2645 BLAIRS FERRY RD NE
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52402-1802
Practice Address - Country:US
Practice Address - Phone:319-393-7688
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-05
Last Update Date:2007-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA02297152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty