Provider Demographics
NPI:1215310743
Name:LUXURY OPTICAL HOLDINGS CO
Entity type:Organization
Organization Name:LUXURY OPTICAL HOLDINGS CO
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CORPORATE CONTROLLER
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCLEAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-487-4203
Mailing Address - Street 1:2651 CRIMSON CANYON DR
Mailing Address - Street 2:STE 110
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89128-0842
Mailing Address - Country:US
Mailing Address - Phone:702-487-4203
Mailing Address - Fax:702-448-8003
Practice Address - Street 1:104 MAIN ST
Practice Address - Street 2:STE #2
Practice Address - City:WARWICK
Practice Address - State:NY
Practice Address - Zip Code:10990-1304
Practice Address - Country:US
Practice Address - Phone:845-986-5367
Practice Address - Fax:845-987-1129
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-01
Last Update Date:2015-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier