Provider Demographics
NPI:1982913265
Name:BRIGHT EYES INC
Entity type:Organization
Organization Name:BRIGHT EYES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CORINNA
Authorized Official - Middle Name:MIRIAM
Authorized Official - Last Name:POKORNY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:909-271-2702
Mailing Address - Street 1:7928 SIERRA VISTA ST
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-1833
Mailing Address - Country:US
Mailing Address - Phone:909-271-2702
Mailing Address - Fax:
Practice Address - Street 1:1800 WESTERN AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92411-1356
Practice Address - Country:US
Practice Address - Phone:909-887-3937
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-04
Last Update Date:2011-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA98455261QS0132X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS0132XAmbulatory Health Care FacilitiesClinic/CenterOphthalmologic Surgery