Provider Demographics
NPI:1396903324
Name:AISLING EYEWEAR, LLC
Entity type:Organization
Organization Name:AISLING EYEWEAR, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LICENSED DISPENSING OPTICIAN
Authorized Official - Prefix:MS
Authorized Official - First Name:KATE
Authorized Official - Middle Name:
Authorized Official - Last Name:SWEENEY
Authorized Official - Suffix:
Authorized Official - Credentials:LDO
Authorized Official - Phone:360-715-1503
Mailing Address - Street 1:1105 MCKENZIE AVE
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-7041
Mailing Address - Country:US
Mailing Address - Phone:360-715-1503
Mailing Address - Fax:
Practice Address - Street 1:1105 MCKENZIE AVE
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-7041
Practice Address - Country:US
Practice Address - Phone:360-715-1503
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-27
Last Update Date:2008-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALDO 1878156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty