Provider Demographics
NPI:1558559120
Name:EYE STUDIO, INC.
Entity type:Organization
Organization Name:EYE STUDIO, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:HULBIRT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-233-6331
Mailing Address - Street 1:2099 WADSWORTH BLVD
Mailing Address - Street 2:SUITE L
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80214-5740
Mailing Address - Country:US
Mailing Address - Phone:303-233-6331
Mailing Address - Fax:
Practice Address - Street 1:2099 WADSWORTH BLVD
Practice Address - Street 2:SUITE L
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80214-5740
Practice Address - Country:US
Practice Address - Phone:303-233-6331
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-09
Last Update Date:2007-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier