Provider Demographics
NPI:1770315376
Name:EYE SEE YOU NOW
Entity type:Organization
Organization Name:EYE SEE YOU NOW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEA
Authorized Official - Prefix:MR
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:MORIARTY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-910-0985
Mailing Address - Street 1:10818 W AVENIDA DEL REY
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85383-9680
Mailing Address - Country:US
Mailing Address - Phone:602-910-0985
Mailing Address - Fax:
Practice Address - Street 1:10818 W AVENIDA DEL REY
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85383-9680
Practice Address - Country:US
Practice Address - Phone:602-910-0985
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-14
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WX0102XEye and Vision Services ProvidersOptometristOccupational VisionGroup - Single Specialty