Provider Demographics
NPI:1588038335
Name:DITTO TECHNOLOGIES, INC
Entity type:Organization
Organization Name:DITTO TECHNOLOGIES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/CO-FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:M
Authorized Official - Last Name:DOERKSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-622-8757
Mailing Address - Street 1:420 NW 5TH ST STE 2B
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47708-1333
Mailing Address - Country:US
Mailing Address - Phone:812-618-2809
Mailing Address - Fax:877-471-0289
Practice Address - Street 1:420 NW 5TH ST STE 2B
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47708-1333
Practice Address - Country:US
Practice Address - Phone:812-618-2809
Practice Address - Fax:877-471-0289
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-17
Last Update Date:2015-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier