Provider Demographics
NPI:1467651844
Name:EYE Q OPTICAL
Entity Type:Organization
Organization Name:EYE Q OPTICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:SESKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-960-2200
Mailing Address - Street 1:2167 N PONTIAC TRL
Mailing Address - Street 2:
Mailing Address - City:COMMERCE TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48390-3162
Mailing Address - Country:US
Mailing Address - Phone:248-960-2200
Mailing Address - Fax:248-960-2202
Practice Address - Street 1:2167 N PONTIAC TRL
Practice Address - Street 2:
Practice Address - City:COMMERCE TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48390-3162
Practice Address - Country:US
Practice Address - Phone:248-960-2200
Practice Address - Fax:248-960-2202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-16
Last Update Date:2007-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty