Provider Demographics
NPI:1346618097
Name:EYES FIRST INC
Entity Type:Organization
Organization Name:EYES FIRST INC
Other - Org Name:PEARLE VISION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER OPERATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ZAHEER
Authorized Official - Middle Name:MOHAMMED
Authorized Official - Last Name:HABIBI
Authorized Official - Suffix:
Authorized Official - Credentials:OPTICIAN
Authorized Official - Phone:469-826-0197
Mailing Address - Street 1:2536 MALL CIR
Mailing Address - Street 2:SUITE D
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76116-1545
Mailing Address - Country:US
Mailing Address - Phone:817-731-7434
Mailing Address - Fax:817-738-2043
Practice Address - Street 1:2536 MALL CIR
Practice Address - Street 2:SUITE D
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76116-1545
Practice Address - Country:US
Practice Address - Phone:817-731-7434
Practice Address - Fax:817-738-2043
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-11
Last Update Date:2016-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC157378332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier