Provider Demographics
NPI:1700661485
Name:APPLE EYE INCORPORATED
Entity Type:Organization
Organization Name:APPLE EYE INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAULINA
Authorized Official - Middle Name:OGHENEOCHUKO
Authorized Official - Last Name:AKPATI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-920-9798
Mailing Address - Street 1:1604 SILVERY CANOE WAY
Mailing Address - Street 2:
Mailing Address - City:WYLIE
Mailing Address - State:TX
Mailing Address - Zip Code:75098-0855
Mailing Address - Country:US
Mailing Address - Phone:469-920-9798
Mailing Address - Fax:
Practice Address - Street 1:1604 SILVERY CANOE WAY
Practice Address - Street 2:
Practice Address - City:WYLIE
Practice Address - State:TX
Practice Address - Zip Code:75098-0855
Practice Address - Country:US
Practice Address - Phone:469-920-9798
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-30
Last Update Date:2024-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251X00000XAgenciesSupports Brokerage
No251B00000XAgenciesCase Management
No251E00000XAgenciesHome Health
No322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children