Provider Demographics
NPI:1225351372
Name:EYEWORKS OPTICAL INC
Entity Type:Organization
Organization Name:EYEWORKS OPTICAL INC
Other - Org Name:WASHINGTON VISION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:O.D./OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:ROZYCKI
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:724-225-4448
Mailing Address - Street 1:136 W CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301-4423
Mailing Address - Country:US
Mailing Address - Phone:724-225-4448
Mailing Address - Fax:724-225-7237
Practice Address - Street 1:136 W CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-4423
Practice Address - Country:US
Practice Address - Phone:724-225-4448
Practice Address - Fax:724-225-7237
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-03
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOE007737T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty