Provider Demographics
NPI:1023783222
Name:EYE CONSULTANTS OF FOLEY LLC
Entity type:Organization
Organization Name:EYE CONSULTANTS OF FOLEY LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:TRI
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-934-9384
Mailing Address - Street 1:2601 S MCKENZIE ST STE 234
Mailing Address - Street 2:
Mailing Address - City:FOLEY
Mailing Address - State:AL
Mailing Address - Zip Code:36535-3455
Mailing Address - Country:US
Mailing Address - Phone:251-943-9384
Mailing Address - Fax:251-943-9149
Practice Address - Street 1:2601 S MCKENZIE ST STE 234
Practice Address - Street 2:
Practice Address - City:FOLEY
Practice Address - State:AL
Practice Address - Zip Code:36535-3455
Practice Address - Country:US
Practice Address - Phone:251-934-9384
Practice Address - Fax:251-943-9149
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-11
Last Update Date:2021-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty