Provider Demographics
NPI:1649418476
Name:EYES ON YOU OPTOMETRY INC.
Entity Type:Organization
Organization Name:EYES ON YOU OPTOMETRY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:RENE
Authorized Official - Last Name:DAGRON
Authorized Official - Suffix:
Authorized Official - Credentials:DOCTOR OPTOMETRY
Authorized Official - Phone:510-435-5400
Mailing Address - Street 1:251 RHODE ISLAND ST
Mailing Address - Street 2:SUITE # 110
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94103-5148
Mailing Address - Country:US
Mailing Address - Phone:415-896-4393
Mailing Address - Fax:415-896-4395
Practice Address - Street 1:251 RHODE ISLAND ST
Practice Address - Street 2:SUITE # 110
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94103-5148
Practice Address - Country:US
Practice Address - Phone:415-896-4393
Practice Address - Fax:415-896-4395
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-02
Last Update Date:2009-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11593T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty