Provider Demographics
NPI:1437574506
Name:EYE ON HEALTH INC
Entity Type:Organization
Organization Name:EYE ON HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:M
Authorized Official - Last Name:CORK
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:561-809-8118
Mailing Address - Street 1:800 GLACIER AVE
Mailing Address - Street 2:100
Mailing Address - City:JUNEAU
Mailing Address - State:AK
Mailing Address - Zip Code:99801-1855
Mailing Address - Country:US
Mailing Address - Phone:561-809-8118
Mailing Address - Fax:907-463-5090
Practice Address - Street 1:8745 GLACIER HWY
Practice Address - Street 2:426
Practice Address - City:JUNEAU
Practice Address - State:AK
Practice Address - Zip Code:99801-8029
Practice Address - Country:US
Practice Address - Phone:907-796-3937
Practice Address - Fax:907-796-3940
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-26
Last Update Date:2014-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK349152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty