Provider Demographics
NPI:1215373360
Name:EYES & OPTICS, INC.
Entity Type:Organization
Organization Name:EYES & OPTICS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INCORPORATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:BRANDON
Authorized Official - Middle Name:R
Authorized Official - Last Name:LIBASSI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-943-4330
Mailing Address - Street 1:1395 ATWOOD AVE STE 103
Mailing Address - Street 2:
Mailing Address - City:JOHNSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02919-4930
Mailing Address - Country:US
Mailing Address - Phone:401-943-4330
Mailing Address - Fax:
Practice Address - Street 1:1395 ATWOOD AVE STE 103
Practice Address - Street 2:
Practice Address - City:JOHNSTON
Practice Address - State:RI
Practice Address - Zip Code:02919-4930
Practice Address - Country:US
Practice Address - Phone:401-943-4330
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-16
Last Update Date:2013-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty