Provider Demographics
NPI:1891068235
Name:POSHOPTIQUE,LLC
Entity Type:Organization
Organization Name:POSHOPTIQUE,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SHAFEEQA
Authorized Official - Middle Name:
Authorized Official - Last Name:HUSSEIN-BEY
Authorized Official - Suffix:
Authorized Official - Credentials:ABOC,LDO
Authorized Official - Phone:216-338-7701
Mailing Address - Street 1:600 SUPERIOR AVE E
Mailing Address - Street 2:SUITE 1300
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44114-2614
Mailing Address - Country:US
Mailing Address - Phone:216-338-7701
Mailing Address - Fax:216-479-6801
Practice Address - Street 1:600 SUPERIOR AVE E
Practice Address - Street 2:SUITE 1300
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44114-2614
Practice Address - Country:US
Practice Address - Phone:216-338-7701
Practice Address - Fax:216-479-6801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-15
Last Update Date:2012-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.9857332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier