Provider Demographics
NPI:1699121772
Name:FOR YOUR EYES ONLY OPTOMETRISTS, P.L.L.C.
Entity type:Organization
Organization Name:FOR YOUR EYES ONLY OPTOMETRISTS, P.L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:E
Authorized Official - Last Name:ZALAR
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:540-604-7840
Mailing Address - Street 1:67 CASINO DRIVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:ANMOORE
Mailing Address - State:WV
Mailing Address - Zip Code:26323-0005
Mailing Address - Country:US
Mailing Address - Phone:304-624-3937
Mailing Address - Fax:304-623-1189
Practice Address - Street 1:67 CASINO DRIVE
Practice Address - Street 2:SUITE 101
Practice Address - City:ANMOORE
Practice Address - State:WV
Practice Address - Zip Code:26323-0005
Practice Address - Country:US
Practice Address - Phone:304-624-3937
Practice Address - Fax:304-623-1189
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-09
Last Update Date:2016-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV2006-IOD152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty