Provider Demographics
NPI:1679012199
Name:BYERS ENTERPRISES DBA MATTRESS EMPORIUM
Entity Type:Organization
Organization Name:BYERS ENTERPRISES DBA MATTRESS EMPORIUM
Other - Org Name:MATTRESS EMPORIUM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:A
Authorized Official - Last Name:BYERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-383-1863
Mailing Address - Street 1:13603 OLD FREDERICKTOWN RD
Mailing Address - Street 2:
Mailing Address - City:EAST LIVERPOOL
Mailing Address - State:OH
Mailing Address - Zip Code:43920-8917
Mailing Address - Country:US
Mailing Address - Phone:330-383-1863
Mailing Address - Fax:
Practice Address - Street 1:15765 STATE ROUTE 170 STE 8
Practice Address - Street 2:
Practice Address - City:EAST LIVERPOOL
Practice Address - State:OH
Practice Address - Zip Code:43920-9600
Practice Address - Country:US
Practice Address - Phone:330-932-1082
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-16
Last Update Date:2017-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies