Provider Demographics
NPI:1508550351
Name:EYEEMPOWER, LLC
Entity Type:Organization
Organization Name:EYEEMPOWER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:SHEFALI
Authorized Official - Middle Name:PATEL
Authorized Official - Last Name:AHMADI
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:860-550-4956
Mailing Address - Street 1:36 TUNXIS PATH
Mailing Address - Street 2:
Mailing Address - City:PLANTSVILLE
Mailing Address - State:CT
Mailing Address - Zip Code:06479-1348
Mailing Address - Country:US
Mailing Address - Phone:860-550-4956
Mailing Address - Fax:
Practice Address - Street 1:553 POST RD
Practice Address - Street 2:
Practice Address - City:DARIEN
Practice Address - State:CT
Practice Address - Zip Code:06820-3609
Practice Address - Country:US
Practice Address - Phone:203-309-5155
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-05
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty