Provider Demographics
NPI:1861827578
Name:EYES ALL OVER INC.
Entity type:Organization
Organization Name:EYES ALL OVER INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPTICIAN
Authorized Official - Prefix:
Authorized Official - First Name:TERI
Authorized Official - Middle Name:R
Authorized Official - Last Name:FOCHT
Authorized Official - Suffix:
Authorized Official - Credentials:ABOC
Authorized Official - Phone:651-333-4420
Mailing Address - Street 1:506 7TH ST W
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55102-3006
Mailing Address - Country:US
Mailing Address - Phone:651-333-4420
Mailing Address - Fax:651-204-0966
Practice Address - Street 1:506 7TH ST W
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55102-3006
Practice Address - Country:US
Practice Address - Phone:651-333-4420
Practice Address - Fax:651-204-0966
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-12
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN152W00000X
156F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156F00000XEye and Vision Services ProvidersTechnician/TechnologistGroup - Multi-Specialty
No152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1285900548OtherNPI 1
MN12191422OtherCAQH
1396125837OtherNPI 1
MN1831361302OtherNPI 1
MN1073591939OtherNPI 1
MN1073591939OtherNPI 1
MN1831361302OtherNPI 1