Provider Demographics
NPI:1538359567
Name:FOR YOUR EYES ONLY
Entity type:Organization
Organization Name:FOR YOUR EYES ONLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:LDO
Authorized Official - Phone:919-876-5700
Mailing Address - Street 1:6325 FALLS OF NEUSE RD STE 1
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-6809
Mailing Address - Country:US
Mailing Address - Phone:919-876-5700
Mailing Address - Fax:919-873-1926
Practice Address - Street 1:6325 FALLS OF NEUSE RD STE 1
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-6809
Practice Address - Country:US
Practice Address - Phone:919-876-5700
Practice Address - Fax:919-873-1926
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-26
Last Update Date:2008-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1462332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0673430001Medicare NSC