Provider Demographics
NPI:1508197385
Name:GLASSES FAIR, LLC
Entity Type:Organization
Organization Name:GLASSES FAIR, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LORELEI
Authorized Official - Middle Name:V
Authorized Official - Last Name:HIRD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-294-4400
Mailing Address - Street 1:5718 EASTVIEW DR
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:OH
Mailing Address - Zip Code:44216-9706
Mailing Address - Country:US
Mailing Address - Phone:330-294-4400
Mailing Address - Fax:
Practice Address - Street 1:5718 EASTVIEW DR
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:OH
Practice Address - Zip Code:44216-9706
Practice Address - Country:US
Practice Address - Phone:330-294-4400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-19
Last Update Date:2010-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier