Provider Demographics
NPI:1396303855
Name:NU EYES OF FLORIDA INC.
Entity type:Organization
Organization Name:NU EYES OF FLORIDA INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:ESCHE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-230-4283
Mailing Address - Street 1:1705 N 18TH ST
Mailing Address - Street 2:
Mailing Address - City:BROKEN ARROW
Mailing Address - State:OK
Mailing Address - Zip Code:74012-9357
Mailing Address - Country:US
Mailing Address - Phone:918-230-4283
Mailing Address - Fax:
Practice Address - Street 1:1705 N 18TH ST
Practice Address - Street 2:
Practice Address - City:BROKEN ARROW
Practice Address - State:OK
Practice Address - Zip Code:74012-9357
Practice Address - Country:US
Practice Address - Phone:918-230-4283
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-30
Last Update Date:2019-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier