Provider Demographics
NPI:1639962244
Name:DRAGONFLY FINE EYEWEAR, LLC
Entity type:Organization
Organization Name:DRAGONFLY FINE EYEWEAR, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:M
Authorized Official - Last Name:RHYNE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:334-379-6157
Mailing Address - Street 1:2002 LEE ROAD 86
Mailing Address - Street 2:
Mailing Address - City:WAVERLY
Mailing Address - State:AL
Mailing Address - Zip Code:36879
Mailing Address - Country:US
Mailing Address - Phone:334-379-6157
Mailing Address - Fax:
Practice Address - Street 1:1345 OPELIKA RD STE F
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36830-3339
Practice Address - Country:US
Practice Address - Phone:334-379-6157
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-27
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty