Provider Demographics
NPI:1801008487
Name:EAGLE EYES
Entity Type:Organization
Organization Name:EAGLE EYES
Other - Org Name:GIANT EAGLE OPTICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NORMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHILDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-344-1300
Mailing Address - Street 1:1001 E ENTRY DR
Mailing Address - Street 2:SUITE 333
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15216-2943
Mailing Address - Country:US
Mailing Address - Phone:412-344-1300
Mailing Address - Fax:
Practice Address - Street 1:4007 WASHINGTON RD
Practice Address - Street 2:DONALDSONS CROSSROADS
Practice Address - City:MCMURRAY
Practice Address - State:PA
Practice Address - Zip Code:15317-2520
Practice Address - Country:US
Practice Address - Phone:724-941-5100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier