Provider Demographics
NPI:1326277732
Name:YOUR EYES OPTICIANS
Entity Type:Organization
Organization Name:YOUR EYES OPTICIANS
Other - Org Name:DESIGNER EYES OPTICIANS
Other - Org Type:Other Name
Authorized Official - Title/Position:OPTICIAN/MGR
Authorized Official - Prefix:MS
Authorized Official - First Name:SEETA
Authorized Official - Middle Name:KSINGH
Authorized Official - Last Name:DRESNER
Authorized Official - Suffix:
Authorized Official - Credentials:ABO
Authorized Official - Phone:301-881-1222
Mailing Address - Street 1:1520 ROCKVILLE PIKE
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-1602
Mailing Address - Country:US
Mailing Address - Phone:301-881-1222
Mailing Address - Fax:301-881-1223
Practice Address - Street 1:1520 ROCKVILLE PIKE
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-1602
Practice Address - Country:US
Practice Address - Phone:301-881-1222
Practice Address - Fax:301-881-1223
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-07
Last Update Date:2009-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty