Provider Demographics
NPI:1730207739
Name:JUST FOR EYES LIMITED PARTNERSHIP
Entity type:Organization
Organization Name:JUST FOR EYES LIMITED PARTNERSHIP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:EMILIO
Authorized Official - Middle Name:MARTIN
Authorized Official - Last Name:JUSTO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:623-876-4080
Mailing Address - Street 1:10701 W BELL RD
Mailing Address - Street 2:
Mailing Address - City:SUN CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:85351-1074
Mailing Address - Country:US
Mailing Address - Phone:623-876-4080
Mailing Address - Fax:623-977-6911
Practice Address - Street 1:10701 W BELL RD
Practice Address - Street 2:
Practice Address - City:SUN CITY
Practice Address - State:AZ
Practice Address - Zip Code:85351-1074
Practice Address - Country:US
Practice Address - Phone:623-876-4080
Practice Address - Fax:623-977-6911
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2010-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ18595332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ100510001Medicare ID - Type UnspecifiedOPTICAL