Provider Demographics
NPI:1396558334
Name:EYEMKR LLC
Entity type:Organization
Organization Name:EYEMKR LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCULARIST
Authorized Official - Prefix:
Authorized Official - First Name:DYLAN
Authorized Official - Middle Name:COLE
Authorized Official - Last Name:BOND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-855-0783
Mailing Address - Street 1:341 BROADWAY ST STE 314
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95928-5345
Mailing Address - Country:US
Mailing Address - Phone:530-855-0783
Mailing Address - Fax:530-285-8553
Practice Address - Street 1:341 BROADWAY ST STE 314
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95928-5345
Practice Address - Country:US
Practice Address - Phone:530-855-0783
Practice Address - Fax:530-285-8553
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-31
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332H00000XSuppliersEyewear Supplier
No156FX1700XEye and Vision Services ProvidersTechnician/TechnologistOcularistGroup - Single Specialty