Provider Demographics
NPI:1578631990
Name:SEE OPTICAL
Entity Type:Organization
Organization Name:SEE OPTICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:OFER
Authorized Official - Middle Name:N
Authorized Official - Last Name:EYTAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:623-972-4460
Mailing Address - Street 1:9127 W THUNDERBIRD RD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85381
Mailing Address - Country:US
Mailing Address - Phone:623-972-4460
Mailing Address - Fax:
Practice Address - Street 1:9127 W THUNDERBIRD RD
Practice Address - Street 2:SUITE 104
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85381
Practice Address - Country:US
Practice Address - Phone:623-972-4460
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies