Provider Demographics
NPI:1477914786
Name:TELEEYE DOC
Entity Type:Organization
Organization Name:TELEEYE DOC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:OMOIKHEFE
Authorized Official - Middle Name:
Authorized Official - Last Name:OMEJE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-594-0003
Mailing Address - Street 1:7913 VISTA HILL LN
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75249-2009
Mailing Address - Country:US
Mailing Address - Phone:601-594-0003
Mailing Address - Fax:
Practice Address - Street 1:7913 VISTA HILL LN
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75249-2009
Practice Address - Country:US
Practice Address - Phone:601-594-0003
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-14
Last Update Date:2016-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier