Provider Demographics
NPI:1285218537
Name:DEO BRANDS LLC
Entity Type:Organization
Organization Name:DEO BRANDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO -OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARC
Authorized Official - Middle Name:
Authorized Official - Last Name:COHEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-844-1437
Mailing Address - Street 1:7 JEROME AVE
Mailing Address - Street 2:
Mailing Address - City:DEAL
Mailing Address - State:NJ
Mailing Address - Zip Code:07723-1305
Mailing Address - Country:US
Mailing Address - Phone:347-844-1433
Mailing Address - Fax:
Practice Address - Street 1:651 KAPKOWSKI RD
Practice Address - Street 2:
Practice Address - City:ELIZABETH
Practice Address - State:NJ
Practice Address - Zip Code:07201-4901
Practice Address - Country:US
Practice Address - Phone:347-844-1433
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DEO BRANDS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-05-11
Last Update Date:2021-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1OtherSTORE NAME & LOCATION