Provider Demographics
NPI:1164205597
Name:LOVE YOUR FACE OPTICAL LLC
Entity Type:Organization
Organization Name:LOVE YOUR FACE OPTICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:
Authorized Official - Last Name:FAUDREE
Authorized Official - Suffix:
Authorized Official - Credentials:LDO
Authorized Official - Phone:614-679-1530
Mailing Address - Street 1:406 W OREGON AVE
Mailing Address - Street 2:
Mailing Address - City:SEBRING
Mailing Address - State:OH
Mailing Address - Zip Code:44672-1135
Mailing Address - Country:US
Mailing Address - Phone:614-769-1530
Mailing Address - Fax:
Practice Address - Street 1:32 E BROADWAY ST
Practice Address - Street 2:
Practice Address - City:ALLIANCE
Practice Address - State:OH
Practice Address - Zip Code:44601-2647
Practice Address - Country:US
Practice Address - Phone:330-446-6408
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-17
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156F00000XEye and Vision Services ProvidersTechnician/TechnologistGroup - Single Specialty