Provider Demographics
NPI:1568797132
Name:STYLE EYES LLC
Entity Type:Organization
Organization Name:STYLE EYES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:RHEA
Authorized Official - Last Name:CARRANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-231-2355
Mailing Address - Street 1:20789 GREAT FALLS PLZ
Mailing Address - Street 2:UNIT 108
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20165-2496
Mailing Address - Country:US
Mailing Address - Phone:571-313-1942
Mailing Address - Fax:571-313-1946
Practice Address - Street 1:20789 GREAT FALLS PLZ
Practice Address - Street 2:UNIT 108
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20165-2496
Practice Address - Country:US
Practice Address - Phone:571-313-1942
Practice Address - Fax:571-313-1946
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-14
Last Update Date:2009-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA0618001761152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty