Provider Demographics
NPI:1245675826
Name:EYE CAN SEE
Entity type:Organization
Organization Name:EYE CAN SEE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VIJAI
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:LDO
Authorized Official - Phone:706-693-3022
Mailing Address - Street 1:5641 US HIGHWAY 129 N
Mailing Address - Street 2:
Mailing Address - City:PENDERGRASS
Mailing Address - State:GA
Mailing Address - Zip Code:30567-4714
Mailing Address - Country:US
Mailing Address - Phone:706-693-3022
Mailing Address - Fax:404-920-4747
Practice Address - Street 1:22 E MAIN ST N
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:GA
Practice Address - Zip Code:30228-5502
Practice Address - Country:US
Practice Address - Phone:678-782-3332
Practice Address - Fax:404-920-4747
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-08
Last Update Date:2013-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALDO002533156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty