Provider Demographics
NPI:1184464844
Name:MYEYES LLC
Entity type:Organization
Organization Name:MYEYES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:EPPERSON
Authorized Official - Suffix:
Authorized Official - Credentials:OMT
Authorized Official - Phone:435-671-9393
Mailing Address - Street 1:1901 PROSPECTOR AVE STE 29
Mailing Address - Street 2:
Mailing Address - City:PARK CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84060-7320
Mailing Address - Country:US
Mailing Address - Phone:888-959-5563
Mailing Address - Fax:435-292-1099
Practice Address - Street 1:1901 PROSPECTOR AVE STE 29
Practice Address - Street 2:
Practice Address - City:PARK CITY
Practice Address - State:UT
Practice Address - Zip Code:84060-7320
Practice Address - Country:US
Practice Address - Phone:888-959-5563
Practice Address - Fax:435-292-1099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-30
Last Update Date:2024-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies