Provider Demographics
NPI:1255579454
Name:PARAMOUNT EYES, INC
Entity type:Organization
Organization Name:PARAMOUNT EYES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JULIUS
Authorized Official - Middle Name:AKINTUNDE
Authorized Official - Last Name:ADEYIGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-530-5308
Mailing Address - Street 1:8579 SW 23RD CT
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33025-2093
Mailing Address - Country:US
Mailing Address - Phone:954-530-5308
Mailing Address - Fax:954-530-3486
Practice Address - Street 1:3533 N PINE ISLAND RD
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33351-6638
Practice Address - Country:US
Practice Address - Phone:954-530-5308
Practice Address - Fax:954-530-3486
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-26
Last Update Date:2009-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOE1729332G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332G00000XSuppliersEye Bank