Provider Demographics
NPI:1821493545
Name:RED EYE LLC
Entity Type:Organization
Organization Name:RED EYE LLC
Other - Org Name:ERKER'S EYECARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BUSINESS OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TONY
Authorized Official - Middle Name:
Authorized Official - Last Name:ERKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-997-0002
Mailing Address - Street 1:9717 CLAYTON RD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63124-1503
Mailing Address - Country:US
Mailing Address - Phone:314-997-0002
Mailing Address - Fax:314-997-7723
Practice Address - Street 1:9717 CLAYTON RD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63124-1503
Practice Address - Country:US
Practice Address - Phone:314-997-0002
Practice Address - Fax:314-997-7723
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-23
Last Update Date:2014-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization