Provider Demographics
NPI:1730472572
Name:ALL EYES OPTICAL SOLUTIONS
Entity Type:Organization
Organization Name:ALL EYES OPTICAL SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:LATANYA
Authorized Official - Middle Name:M
Authorized Official - Last Name:DEBRUHL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-743-5156
Mailing Address - Street 1:300 GLEN ECHO DR
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:GA
Mailing Address - Zip Code:30016-7408
Mailing Address - Country:US
Mailing Address - Phone:678-743-5156
Mailing Address - Fax:678-712-1420
Practice Address - Street 1:300 GLEN ECHO DR
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:GA
Practice Address - Zip Code:30016-7408
Practice Address - Country:US
Practice Address - Phone:678-743-5156
Practice Address - Fax:678-712-1420
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-26
Last Update Date:2011-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier