Provider Demographics
NPI:1770236275
Name:EOJ LLC
Entity Type:Organization
Organization Name:EOJ LLC
Other - Org Name:AIKEN EYE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:843-617-7611
Mailing Address - Street 1:967 DOUGHERTY RD
Mailing Address - Street 2:
Mailing Address - City:AIKEN
Mailing Address - State:SC
Mailing Address - Zip Code:29803-6017
Mailing Address - Country:US
Mailing Address - Phone:803-607-7611
Mailing Address - Fax:
Practice Address - Street 1:967 DOUGHERTY RD
Practice Address - Street 2:
Practice Address - City:AIKEN
Practice Address - State:SC
Practice Address - Zip Code:29803-6017
Practice Address - Country:US
Practice Address - Phone:803-617-7611
Practice Address - Fax:803-761-7720
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-03
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty