Provider Demographics
NPI:1104056266
Name:EYE TO EYE INC.
Entity type:Organization
Organization Name:EYE TO EYE INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MRS
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:JAQUINTO
Authorized Official - Last Name:DIMARTINO
Authorized Official - Suffix:
Authorized Official - Credentials:LICENSED OPTICIAN
Authorized Official - Phone:828-667-3211
Mailing Address - Street 1:153 SMOKY PARK HIGHWAY
Mailing Address - Street 2:SUIT 10
Mailing Address - City:ASHLEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806-1167
Mailing Address - Country:US
Mailing Address - Phone:828-667-3211
Mailing Address - Fax:828-670-1120
Practice Address - Street 1:153 SMOKY PARK HIGHWAY
Practice Address - Street 2:SUITE 10
Practice Address - City:ASHLEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28806-1167
Practice Address - Country:US
Practice Address - Phone:828-667-3211
Practice Address - Fax:828-670-1120
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-22
Last Update Date:2009-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC975156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty