Provider Demographics
NPI:1376374371
Name:20 20 EYE WORLD OF GREENVILLE LLC
Entity type:Organization
Organization Name:20 20 EYE WORLD OF GREENVILLE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:COLLIN
Authorized Official - Middle Name:QUINN
Authorized Official - Last Name:ROUNSAVALL
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:662-822-8181
Mailing Address - Street 1:1607 HIGHWAY 1 S
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:38701-7832
Mailing Address - Country:US
Mailing Address - Phone:662-378-2085
Mailing Address - Fax:
Practice Address - Street 1:1607 HIGHWAY 1 S
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:MS
Practice Address - Zip Code:38701-7832
Practice Address - Country:US
Practice Address - Phone:662-378-2085
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-12
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty