Provider Demographics
NPI:1275735060
Name:EYES TO YOU, INC
Entity Type:Organization
Organization Name:EYES TO YOU, INC
Other - Org Name:PERFECT VISION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:TANNI
Authorized Official - Middle Name:
Authorized Official - Last Name:BISHOP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-722-7254
Mailing Address - Street 1:1109 HIGHWAY 491
Mailing Address - Street 2:
Mailing Address - City:GALLUP
Mailing Address - State:NM
Mailing Address - Zip Code:87301-5382
Mailing Address - Country:US
Mailing Address - Phone:505-722-7254
Mailing Address - Fax:
Practice Address - Street 1:1109 HIGHWAY 491
Practice Address - Street 2:
Practice Address - City:GALLUP
Practice Address - State:NM
Practice Address - Zip Code:87301-5382
Practice Address - Country:US
Practice Address - Phone:505-722-7254
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM05486521Medicaid