Provider Demographics
NPI:1053786145
Name:EYE ON HEALTH CO LLC
Entity type:Organization
Organization Name:EYE ON HEALTH CO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLER
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:GREENSTREET
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-459-1944
Mailing Address - Street 1:9305 W THOMAS RD STE 300
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85037-3366
Mailing Address - Country:US
Mailing Address - Phone:480-809-0550
Mailing Address - Fax:623-321-6314
Practice Address - Street 1:9305 W THOMAS RD STE 300
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85037-3366
Practice Address - Country:US
Practice Address - Phone:480-809-0550
Practice Address - Fax:623-321-6314
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-01
Last Update Date:2025-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty