Provider Demographics
NPI:1952504003
Name:EYEGLASS ACQUISITIONS, INC.
Entity Type:Organization
Organization Name:EYEGLASS ACQUISITIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE-PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:THEA
Authorized Official - Middle Name:L
Authorized Official - Last Name:TRAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:200-756-9372
Mailing Address - Street 1:9134 HIGHLAND VIEW DR
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49009-7590
Mailing Address - Country:US
Mailing Address - Phone:269-372-0075
Mailing Address - Fax:269-372-3130
Practice Address - Street 1:9134 HIGHLAND VIEW DR
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49009-7590
Practice Address - Country:US
Practice Address - Phone:269-372-0075
Practice Address - Fax:269-372-3130
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier