Provider Demographics
NPI:1497252381
Name:ALL EYES OPTOMETRY PLLC
Entity Type:Organization
Organization Name:ALL EYES OPTOMETRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CLAYTON
Authorized Official - Middle Name:
Authorized Official - Last Name:CASHEN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:574-303-7239
Mailing Address - Street 1:1310 N 400 W
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:IN
Mailing Address - Zip Code:46975-9044
Mailing Address - Country:US
Mailing Address - Phone:574-223-2003
Mailing Address - Fax:
Practice Address - Street 1:2047 NILES RD
Practice Address - Street 2:
Practice Address - City:SAINT JOSEPH
Practice Address - State:MI
Practice Address - Zip Code:49085-2505
Practice Address - Country:US
Practice Address - Phone:269-983-3200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-09
Last Update Date:2018-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4901005099152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty