Provider Demographics
NPI:1841821972
Name:DR. 2EYES PLLC
Entity type:Organization
Organization Name:DR. 2EYES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:TEW
Authorized Official - Suffix:JR
Authorized Official - Credentials:OD
Authorized Official - Phone:502-599-9998
Mailing Address - Street 1:2216 MARGATE CT
Mailing Address - Street 2:
Mailing Address - City:LA GRANGE
Mailing Address - State:KY
Mailing Address - Zip Code:40031-8689
Mailing Address - Country:US
Mailing Address - Phone:502-599-9998
Mailing Address - Fax:
Practice Address - Street 1:5998 PLEASANT COLONY CT STE 16
Practice Address - Street 2:
Practice Address - City:CRESTWOOD
Practice Address - State:KY
Practice Address - Zip Code:40014-8712
Practice Address - Country:US
Practice Address - Phone:502-599-9998
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-28
Last Update Date:2020-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty