Provider Demographics
NPI:1942350632
Name:EVERYTHING OPTICAL INC
Entity Type:Organization
Organization Name:EVERYTHING OPTICAL INC
Other - Org Name:TOM STEVENS OPTICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:
Authorized Official - Last Name:LICHTNER
Authorized Official - Suffix:
Authorized Official - Credentials:OPTICIAN
Authorized Official - Phone:954-429-3238
Mailing Address - Street 1:4800 W HILLSBORO BLVD
Mailing Address - Street 2:A16
Mailing Address - City:COCONUT CREEK
Mailing Address - State:FL
Mailing Address - Zip Code:33073-4330
Mailing Address - Country:US
Mailing Address - Phone:954-429-3238
Mailing Address - Fax:954-421-3937
Practice Address - Street 1:4800 W HILLSBORO BLVD
Practice Address - Street 2:A16
Practice Address - City:COCONUT CREEK
Practice Address - State:FL
Practice Address - Zip Code:33073-4330
Practice Address - Country:US
Practice Address - Phone:954-429-3238
Practice Address - Fax:954-421-3937
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-12
Last Update Date:2008-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDO156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1172740001Medicare NSC