Provider Demographics
NPI:1902958895
Name:EYEWARE UNLIMITED INC.
Entity Type:Organization
Organization Name:EYEWARE UNLIMITED INC.
Other - Org Name:PEARLE VISION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BORIS
Authorized Official - Middle Name:
Authorized Official - Last Name:KINKOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-696-4615
Mailing Address - Street 1:10720 PRESTON RD
Mailing Address - Street 2:SUITE 1003
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-3864
Mailing Address - Country:US
Mailing Address - Phone:214-696-4614
Mailing Address - Fax:
Practice Address - Street 1:10720 PRESTON RD
Practice Address - Street 2:SUITE 1003
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-3864
Practice Address - Country:US
Practice Address - Phone:214-696-4614
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty