Provider Demographics
NPI:1467680934
Name:EYES ENTERPRISES, INC.
Entity Type:Organization
Organization Name:EYES ENTERPRISES, INC.
Other - Org Name:SITE FOR SORE EYES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DONOVAN
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:KNIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:OPTICIAN
Authorized Official - Phone:650-474-2020
Mailing Address - Street 1:1005 EL CAMINO REAL STE B3
Mailing Address - Street 2:
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94063-1692
Mailing Address - Country:US
Mailing Address - Phone:650-474-2020
Mailing Address - Fax:650-474-3600
Practice Address - Street 1:1005 EL CAMINO REAL STE B3
Practice Address - Street 2:
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94063-1692
Practice Address - Country:US
Practice Address - Phone:650-474-2020
Practice Address - Fax:650-474-3600
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EYES ENTERPRISES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-06-23
Last Update Date:2009-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier