Provider Demographics
NPI:1427231851
Name:A PERFECT PAIR
Entity Type:Organization
Organization Name:A PERFECT PAIR
Other - Org Name:ARCADE OPTICIANS/A PERFECT PAIR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:F. DEANINE
Authorized Official - Middle Name:
Authorized Official - Last Name:GILBERTSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-310-1355
Mailing Address - Street 1:1953 1ST AVE SE
Mailing Address - Street 2:SUITE D6
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52402-5328
Mailing Address - Country:US
Mailing Address - Phone:319-365-8746
Mailing Address - Fax:319-368-6647
Practice Address - Street 1:1953 1ST AVE SE
Practice Address - Street 2:SUITE D6
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52402-5328
Practice Address - Country:US
Practice Address - Phone:319-365-8746
Practice Address - Fax:319-368-6647
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-07
Last Update Date:2007-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier