Provider Demographics
NPI:1912574526
Name:EASY ON THE EYES LLC
Entity Type:Organization
Organization Name:EASY ON THE EYES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:WILCOX
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:864-489-9979
Mailing Address - Street 1:1115 W FLOYD BAKER BLVD
Mailing Address - Street 2:
Mailing Address - City:GAFFNEY
Mailing Address - State:SC
Mailing Address - Zip Code:29341-1411
Mailing Address - Country:US
Mailing Address - Phone:864-489-9979
Mailing Address - Fax:864-585-2255
Practice Address - Street 1:1115 W FLOYD BAKER BLVD
Practice Address - Street 2:
Practice Address - City:GAFFNEY
Practice Address - State:SC
Practice Address - Zip Code:29341-1411
Practice Address - Country:US
Practice Address - Phone:864-489-9979
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-10
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty