Provider Demographics
NPI:1821536277
Name:EYE ATTIRE LLC
Entity Type:Organization
Organization Name:EYE ATTIRE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:M
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:855-254-2577
Mailing Address - Street 1:176 N MAIN ST
Mailing Address - Street 2:SUITE. 5
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84103-2074
Mailing Address - Country:US
Mailing Address - Phone:855-254-2577
Mailing Address - Fax:
Practice Address - Street 1:412 N MAIN ST
Practice Address - Street 2:STE 100
Practice Address - City:BUFFALO
Practice Address - State:WY
Practice Address - Zip Code:82834-1754
Practice Address - Country:US
Practice Address - Phone:855-254-2577
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-06
Last Update Date:2017-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier