Provider Demographics
NPI:1518123959
Name:VISUALEYES,INC.
Entity Type:Organization
Organization Name:VISUALEYES,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:FRANKLIN
Authorized Official - Last Name:ERICSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-964-8929
Mailing Address - Street 1:324 S ANKENY BLVD
Mailing Address - Street 2:
Mailing Address - City:ANKENY
Mailing Address - State:IA
Mailing Address - Zip Code:50023-3127
Mailing Address - Country:US
Mailing Address - Phone:515-964-8892
Mailing Address - Fax:515-964-8929
Practice Address - Street 1:324 S ANKENY BLVD
Practice Address - Street 2:
Practice Address - City:ANKENY
Practice Address - State:IA
Practice Address - Zip Code:50023-3127
Practice Address - Country:US
Practice Address - Phone:515-964-8892
Practice Address - Fax:515-964-8929
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VISUALEYES,INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-08-05
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
6134810001Medicare NSC