Provider Demographics
NPI:1598215543
Name:HW HOLDINGS
Entity Type:Organization
Organization Name:HW HOLDINGS
Other - Org Name:ALL ABOUT EYES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:INSURANCE SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:
Authorized Official - Last Name:BOX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:309-808-3112
Mailing Address - Street 1:480 WYLIE DR
Mailing Address - Street 2:
Mailing Address - City:NORMAL
Mailing Address - State:IL
Mailing Address - Zip Code:61761-5405
Mailing Address - Country:US
Mailing Address - Phone:309-808-3112
Mailing Address - Fax:312-327-7621
Practice Address - Street 1:4756 ELMORE AVE
Practice Address - Street 2:
Practice Address - City:DAVENPORT
Practice Address - State:IA
Practice Address - Zip Code:52807-3482
Practice Address - Country:US
Practice Address - Phone:563-424-4264
Practice Address - Fax:563-424-5013
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-13
Last Update Date:2016-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier