Provider Demographics
NPI:1376765115
Name:EYE MANAGEMENT INC
Entity Type:Organization
Organization Name:EYE MANAGEMENT INC
Other - Org Name:VIVRA EYE MANAGEMENT
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:BILOWICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-614-4101
Mailing Address - Street 1:2001 S ANDREWS AVE
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33316-3429
Mailing Address - Country:US
Mailing Address - Phone:305-614-0356
Mailing Address - Fax:305-614-5009
Practice Address - Street 1:2001 S ANDREWS AVE
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33316-3429
Practice Address - Country:US
Practice Address - Phone:305-614-0356
Practice Address - Fax:305-614-5009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-02
Last Update Date:2014-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization