Provider Demographics
NPI:1477769040
Name:INTEGRITY EYEWEAR INC.
Entity Type:Organization
Organization Name:INTEGRITY EYEWEAR INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:COLLEEN
Authorized Official - Middle Name:ARDYTHE
Authorized Official - Last Name:UECKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:616-667-9130
Mailing Address - Street 1:3819 RIVERTOWN PKWY SW
Mailing Address - Street 2:SUITE 500
Mailing Address - City:GRANDVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:49418-3140
Mailing Address - Country:US
Mailing Address - Phone:616-667-9130
Mailing Address - Fax:
Practice Address - Street 1:3819 RIVERTOWN PKWY SW
Practice Address - Street 2:SUITE 500
Practice Address - City:GRANDVILLE
Practice Address - State:MI
Practice Address - Zip Code:49418-3140
Practice Address - Country:US
Practice Address - Phone:616-667-9130
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty