Provider Demographics
NPI:1679180855
Name:YOUR EYES AND YOU LLC
Entity Type:Organization
Organization Name:YOUR EYES AND YOU LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:ALHOUT
Authorized Official - Last Name:GREDZIK
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:973-943-1248
Mailing Address - Street 1:174 SAND RD
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07004-1574
Mailing Address - Country:US
Mailing Address - Phone:973-943-1248
Mailing Address - Fax:
Practice Address - Street 1:1326 BOUND BROOK RD
Practice Address - Street 2:
Practice Address - City:MIDDLESEX
Practice Address - State:NJ
Practice Address - Zip Code:08846-1401
Practice Address - Country:US
Practice Address - Phone:732-356-0300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-30
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty