Provider Demographics
NPI:1538871397
Name:TRAVELING GOGGLES LLC
Entity type:Organization
Organization Name:TRAVELING GOGGLES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROPRIETOR
Authorized Official - Prefix:MS
Authorized Official - First Name:TEMIKA
Authorized Official - Middle Name:M
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:LDO, ABOC
Authorized Official - Phone:440-497-9383
Mailing Address - Street 1:12512 LENACRAVE AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44105-4453
Mailing Address - Country:US
Mailing Address - Phone:440-497-9383
Mailing Address - Fax:
Practice Address - Street 1:12512 LENACRAVE AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44105-4453
Practice Address - Country:US
Practice Address - Phone:440-497-9383
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-22
Last Update Date:2022-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty