Provider Demographics
NPI:1669152435
Name:EYES LIMITED
Entity type:Organization
Organization Name:EYES LIMITED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MUHANNAH
Authorized Official - Middle Name:S
Authorized Official - Last Name:KAKISH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-843-4262
Mailing Address - Street 1:3112 LAKE SHORE AVE
Mailing Address - Street 2:
Mailing Address - City:MAPLE PLAIN
Mailing Address - State:MN
Mailing Address - Zip Code:55359-8608
Mailing Address - Country:US
Mailing Address - Phone:763-843-4264
Mailing Address - Fax:
Practice Address - Street 1:3112 LAKE SHORE AVE
Practice Address - Street 2:
Practice Address - City:MAPLE PLAIN
Practice Address - State:MN
Practice Address - Zip Code:55359-8608
Practice Address - Country:US
Practice Address - Phone:763-843-4264
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-18
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
No156F00000XEye and Vision Services ProvidersTechnician/TechnologistGroup - Single Specialty
No332H00000XSuppliersEyewear SupplierGroup - Single Specialty