Provider Demographics
NPI:1154488377
Name:EYE TO EYE OPTICAL LTD.
Entity Type:Organization
Organization Name:EYE TO EYE OPTICAL LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:MELAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-826-3392
Mailing Address - Street 1:78 COLISEUM XING
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23666-5970
Mailing Address - Country:US
Mailing Address - Phone:757-826-3392
Mailing Address - Fax:757-826-3392
Practice Address - Street 1:78 COLISEUM XING
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23666-5970
Practice Address - Country:US
Practice Address - Phone:757-826-3392
Practice Address - Fax:757-826-3392
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-03
Last Update Date:2008-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
0768930001Medicare NSC