Provider Demographics
NPI:1629367826
Name:EYE SOCIETY
Entity type:Organization
Organization Name:EYE SOCIETY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GILA
Authorized Official - Middle Name:
Authorized Official - Last Name:LEHRER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-453-9691
Mailing Address - Street 1:700 110TH AVE NE
Mailing Address - Street 2:SUITE 255
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-5119
Mailing Address - Country:US
Mailing Address - Phone:425-453-9691
Mailing Address - Fax:425-453-9812
Practice Address - Street 1:700 110TH AVE NE
Practice Address - Street 2:SUITE 255
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-5119
Practice Address - Country:US
Practice Address - Phone:425-453-9691
Practice Address - Fax:425-453-9812
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-29
Last Update Date:2011-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier