Provider Demographics
NPI:1609022565
Name:FOR YOUR EYES ONLY
Entity Type:Organization
Organization Name:FOR YOUR EYES ONLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SONIA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAITHATHA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-629-1122
Mailing Address - Street 1:507 MARTIN LUTHER KING
Mailing Address - Street 2:
Mailing Address - City:EAST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07018-2214
Mailing Address - Country:US
Mailing Address - Phone:973-677-7200
Mailing Address - Fax:973-677-7300
Practice Address - Street 1:507 MARTIN LUTHER KING
Practice Address - Street 2:
Practice Address - City:EAST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07018-2214
Practice Address - Country:US
Practice Address - Phone:973-677-7200
Practice Address - Fax:973-677-7300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-12
Last Update Date:2008-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier