Provider Demographics
NPI: | 1194056937 |
---|---|
Name: | AMERICA'S BEST CONTACTS & EYEGLASSES |
Entity type: | Organization |
Organization Name: | AMERICA'S BEST CONTACTS & EYEGLASSES |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | MC ASSISTANT |
Authorized Official - Prefix: | |
Authorized Official - First Name: | SUSAN |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | EDICK |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 678-892-3774 |
Mailing Address - Street 1: | 296 GRAYSON HWY |
Mailing Address - Street 2: | |
Mailing Address - City: | LAWRENCEVILLE |
Mailing Address - State: | GA |
Mailing Address - Zip Code: | 30046-5737 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 700-822-3600 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 1201 N MAIN ST STE 1 |
Practice Address - Street 2: | |
Practice Address - City: | SUFFOLK |
Practice Address - State: | VA |
Practice Address - Zip Code: | 23434-4356 |
Practice Address - Country: | US |
Practice Address - Phone: | 757-942-0452 |
Practice Address - Fax: | 757-942-0457 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | Yes |
Parent Organization LBN: | NATIONAL VISION, INC. |
Parent Organization TIN: | <UNAVAIL> |
Enumeration Date: | 2010-01-19 |
Last Update Date: | 2010-01-19 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 156FX1800X | Eye and Vision Services Providers | Technician/Technologist | Optician | Group - Single Specialty |