Provider Demographics
NPI:1891595427
Name:EYEFIX FAMILY OPTICAL LLC
Entity type:Organization
Organization Name:EYEFIX FAMILY OPTICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANNIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:COZAD
Authorized Official - Suffix:
Authorized Official - Credentials:LDO ABOC
Authorized Official - Phone:603-753-2085
Mailing Address - Street 1:217 FISHERVILLE RD
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03303-4010
Mailing Address - Country:US
Mailing Address - Phone:603-753-2085
Mailing Address - Fax:603-753-2221
Practice Address - Street 1:217 FISHERVILLE RD
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03303-4010
Practice Address - Country:US
Practice Address - Phone:603-753-2085
Practice Address - Fax:603-753-2221
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-13
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty