Provider Demographics
NPI:1932625431
Name:EYE EXPRESSIONS, LLC
Entity Type:Organization
Organization Name:EYE EXPRESSIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED DISPENSING OPTICIAN
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:A
Authorized Official - Last Name:BARRY
Authorized Official - Suffix:
Authorized Official - Credentials:LDO
Authorized Official - Phone:561-799-3932
Mailing Address - Street 1:7100 FAIRWAY DR STE 39
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33418-4203
Mailing Address - Country:US
Mailing Address - Phone:561-799-3932
Mailing Address - Fax:561-799-3978
Practice Address - Street 1:7100 FAIRWAY DR STE 39
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33418-4203
Practice Address - Country:US
Practice Address - Phone:561-799-3932
Practice Address - Fax:561-799-3978
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-16
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty