Provider Demographics
NPI:1568622462
Name:ART FOR EYES
Entity Type:Organization
Organization Name:ART FOR EYES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:K
Authorized Official - Last Name:ENGLISH
Authorized Official - Suffix:
Authorized Official - Credentials:LDO
Authorized Official - Phone:904-814-4745
Mailing Address - Street 1:1805 EASTWEST PKWY
Mailing Address - Street 2:STE 4
Mailing Address - City:FLEMING ISLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32003-6337
Mailing Address - Country:US
Mailing Address - Phone:904-644-8873
Mailing Address - Fax:904-644-8915
Practice Address - Street 1:1805 EASTWEST PKWY
Practice Address - Street 2:STE 4
Practice Address - City:FLEMING ISLAND
Practice Address - State:FL
Practice Address - Zip Code:32003-6337
Practice Address - Country:US
Practice Address - Phone:904-644-8873
Practice Address - Fax:904-644-8915
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-13
Last Update Date:2017-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDO2648332B00000X
FLDO3644332B00000X
FLDO6717332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL6223660001Medicare NSC