Provider Demographics
NPI:1578822540
Name:THE FASHION EYES COMPANY
Entity Type:Organization
Organization Name:THE FASHION EYES COMPANY
Other - Org Name:FASHION EYES IN WHITE BEAR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:YON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-426-0320
Mailing Address - Street 1:2200 3RD ST
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55110-3273
Mailing Address - Country:US
Mailing Address - Phone:651-426-0320
Mailing Address - Fax:651-426-0326
Practice Address - Street 1:2200 3RD ST
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55110-3273
Practice Address - Country:US
Practice Address - Phone:651-426-0320
Practice Address - Fax:651-426-0326
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-11
Last Update Date:2012-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332H00000XSuppliersEyewear Supplier
No152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty