Provider Demographics
NPI:1891309928
Name:EYE 2 EYE CARE PS
Entity Type:Organization
Organization Name:EYE 2 EYE CARE PS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SAPHOL
Authorized Official - Middle Name:
Authorized Official - Last Name:ROS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:206-227-2750
Mailing Address - Street 1:19205 STATE ROUTE 410 E
Mailing Address - Street 2:
Mailing Address - City:BONNEY LAKE
Mailing Address - State:WA
Mailing Address - Zip Code:98391-6305
Mailing Address - Country:US
Mailing Address - Phone:253-826-9156
Mailing Address - Fax:253-826-9158
Practice Address - Street 1:19205 STATE ROUTE 410 E
Practice Address - Street 2:
Practice Address - City:BONNEY LAKE
Practice Address - State:WA
Practice Address - Zip Code:98391-6305
Practice Address - Country:US
Practice Address - Phone:253-826-9156
Practice Address - Fax:253-826-9158
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-05
Last Update Date:2020-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center