Provider Demographics
NPI:1407582364
Name:THE EYE BAR, INC.
Entity Type:Organization
Organization Name:THE EYE BAR, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JEREMEY
Authorized Official - Middle Name:
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:DPO
Authorized Official - Phone:615-396-7297
Mailing Address - Street 1:711 N THOMPSON LN STE F
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-4360
Mailing Address - Country:US
Mailing Address - Phone:615-396-7297
Mailing Address - Fax:
Practice Address - Street 1:711 N THOMPSON LN STE F
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-4360
Practice Address - Country:US
Practice Address - Phone:615-396-7297
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-25
Last Update Date:2022-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier