Provider Demographics
NPI:1417731407
Name:FANCY SEEING YOU, LLC
Entity Type:Organization
Organization Name:FANCY SEEING YOU, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:
Authorized Official - Last Name:FAN SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:504-495-3887
Mailing Address - Street 1:2249 S ALDRICH ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53207-1303
Mailing Address - Country:US
Mailing Address - Phone:504-495-3887
Mailing Address - Fax:
Practice Address - Street 1:1568 N FARWELL AVE
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53202-2639
Practice Address - Country:US
Practice Address - Phone:414-221-7055
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-22
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty