Provider Demographics
NPI:1902515190
Name:GLASSES RX, LLC
Entity Type:Organization
Organization Name:GLASSES RX, LLC
Other - Org Name:CENTER FOR SIGHT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:AMES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:404-964-8532
Mailing Address - Street 1:PO BOX 919788
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32891-9788
Mailing Address - Country:US
Mailing Address - Phone:888-856-1878
Mailing Address - Fax:
Practice Address - Street 1:970 KINGS HWY UNIT 2
Practice Address - Street 2:
Practice Address - City:PORT CHARLOTTE
Practice Address - State:FL
Practice Address - Zip Code:33980-4213
Practice Address - Country:US
Practice Address - Phone:941-637-0202
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-16
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier