Provider Demographics
NPI:1780912451
Name:ONEWAY EYEGLASSES
Entity type:Organization
Organization Name:ONEWAY EYEGLASSES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:LYNNE
Authorized Official - Last Name:SEEBO
Authorized Official - Suffix:
Authorized Official - Credentials:OPTICIAN
Authorized Official - Phone:828-274-8415
Mailing Address - Street 1:1800 HENDERSONVILLE RD
Mailing Address - Street 2:SUITE 9
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-3213
Mailing Address - Country:US
Mailing Address - Phone:828-274-8415
Mailing Address - Fax:828-274-4037
Practice Address - Street 1:1800 HENDERSONVILLE RD
Practice Address - Street 2:SUITE 9
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-3213
Practice Address - Country:US
Practice Address - Phone:828-274-8415
Practice Address - Fax:828-274-4037
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-18
Last Update Date:2009-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0813152W00000X
NC1403152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC890991MMedicaid
NC89093N4Medicaid
NCU01898Medicare UPIN
NC89093N4Medicaid