Provider Demographics
NPI:1629246764
Name:CAHOOTS INC
Entity Type:Organization
Organization Name:CAHOOTS INC
Other - Org Name:PERSPECTIVE EYECARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:M
Authorized Official - Last Name:GENTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-699-1010
Mailing Address - Street 1:11824 BELLEVILLE RD
Mailing Address - Street 2:
Mailing Address - City:BELLEVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48111-2426
Mailing Address - Country:US
Mailing Address - Phone:734-699-1010
Mailing Address - Fax:734-699-6769
Practice Address - Street 1:11824 BELLEVILLE RD
Practice Address - Street 2:
Practice Address - City:BELLEVILLE
Practice Address - State:MI
Practice Address - Zip Code:48111-2426
Practice Address - Country:US
Practice Address - Phone:734-699-1010
Practice Address - Fax:734-699-6769
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-12
Last Update Date:2012-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI5284Medicare PIN