Provider Demographics
NPI:1841323839
Name:YOU AND EYE OPTICAL INC
Entity type:Organization
Organization Name:YOU AND EYE OPTICAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMPLOYEE OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:GORDON
Authorized Official - Last Name:ESSIG
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:406-587-2020
Mailing Address - Street 1:120 NORTH SEVENTH AVE
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59715-3304
Mailing Address - Country:US
Mailing Address - Phone:406-587-2020
Mailing Address - Fax:
Practice Address - Street 1:120 NORTH SEVENTH AVE
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59715-3304
Practice Address - Country:US
Practice Address - Phone:406-587-2020
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Not Answered332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0551106Medicaid