Provider Demographics
NPI:1164767760
Name:YEUX COUTURE
Entity Type:Organization
Organization Name:YEUX COUTURE
Other - Org Name:BLINK. OPTICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/OPTICIAN
Authorized Official - Prefix:
Authorized Official - First Name:LEAH
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-847-0123
Mailing Address - Street 1:111 OLD KYLE RD
Mailing Address - Street 2:112
Mailing Address - City:WIMBERLEY
Mailing Address - State:TX
Mailing Address - Zip Code:78676-2830
Mailing Address - Country:US
Mailing Address - Phone:512-847-0123
Mailing Address - Fax:512-847-5432
Practice Address - Street 1:111 OLD KYLE RD
Practice Address - Street 2:112
Practice Address - City:WIMBERLEY
Practice Address - State:TX
Practice Address - Zip Code:78676-2830
Practice Address - Country:US
Practice Address - Phone:512-847-0123
Practice Address - Fax:512-847-5432
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-07
Last Update Date:2012-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier