Provider Demographics
NPI:1205392016
Name:LOCCHIO EYECARE-EYESTYLE, LLC
Entity Type:Organization
Organization Name:LOCCHIO EYECARE-EYESTYLE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:SALVATORE
Authorized Official - Last Name:GRIFASI
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:410-459-6100
Mailing Address - Street 1:32566 DOCS PL UNIT 3
Mailing Address - Street 2:
Mailing Address - City:MILLVILLE
Mailing Address - State:DE
Mailing Address - Zip Code:19967-6959
Mailing Address - Country:US
Mailing Address - Phone:302-537-2100
Mailing Address - Fax:302-537-2103
Practice Address - Street 1:32566 DOCS PL UNIT 3
Practice Address - Street 2:
Practice Address - City:MILLVILLE
Practice Address - State:DE
Practice Address - Zip Code:19967-6959
Practice Address - Country:US
Practice Address - Phone:302-537-2100
Practice Address - Fax:302-537-2103
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-17
Last Update Date:2019-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty