Provider Demographics
NPI:1467132845
Name:EYE COMFORT CARE LLC
Entity Type:Organization
Organization Name:EYE COMFORT CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:VIVIAN
Authorized Official - Middle Name:SURYA
Authorized Official - Last Name:BUEHLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:971-703-0490
Mailing Address - Street 1:57765 NW WILSON RIVER HWY
Mailing Address - Street 2:
Mailing Address - City:GALES CREEK
Mailing Address - State:OR
Mailing Address - Zip Code:97117-9359
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:57765 NW WILSON RIVER HWY
Practice Address - Street 2:
Practice Address - City:GALES CREEK
Practice Address - State:OR
Practice Address - Zip Code:97117-9359
Practice Address - Country:US
Practice Address - Phone:971-703-0490
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-20
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier