Provider Demographics
NPI:1902304421
Name:EYE APPEAL LLC
Entity Type:Organization
Organization Name:EYE APPEAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTICIAN
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:NEIL
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-474-3781
Mailing Address - Street 1:380 LAFAYETTE RD
Mailing Address - Street 2:BLDG 2 UNIT 203
Mailing Address - City:SEABROOK
Mailing Address - State:NH
Mailing Address - Zip Code:03874
Mailing Address - Country:US
Mailing Address - Phone:603-474-3781
Mailing Address - Fax:
Practice Address - Street 1:380 LAFAYETTE RD
Practice Address - Street 2:BLDG 2 UNIT 203
Practice Address - City:SEABROOK
Practice Address - State:NH
Practice Address - Zip Code:03874
Practice Address - Country:US
Practice Address - Phone:603-474-3781
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-30
Last Update Date:2018-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2132332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH311069Medicaid