Provider Demographics
NPI:1275802233
Name:SHOES TO YOU
Entity Type:Organization
Organization Name:SHOES TO YOU
Other - Org Name:SHOES TO YOU, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/CERTIFIED SHOE FITTER
Authorized Official - Prefix:MR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:PIERI
Authorized Official - Suffix:
Authorized Official - Credentials:CFTS
Authorized Official - Phone:800-697-6074
Mailing Address - Street 1:PO BOX 2132
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07474-2132
Mailing Address - Country:US
Mailing Address - Phone:800-697-6074
Mailing Address - Fax:
Practice Address - Street 1:705 HAMBURG TPKE
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-2098
Practice Address - Country:US
Practice Address - Phone:800-697-6074
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-21
Last Update Date:2011-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier