FOR EYES OPTICAL CO OF PENNSYLVANIA; NPI #1003399445

Contact Information

FOR EYES OPTICAL CO OF PENNSYLVANIA

11450 W. BURLEIGH ST
WAUWATOSA, WI 53222

Phone: 305-557-9004
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Eyewear Supplier	332H00000X	87	All Other Suppliers

Indicates primary specialty

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NPI Profile & details for FOR EYES OPTICAL CO OF PENNSYLVANIA

NPI Number	`1003399445`
LBN Legal business name	FOR EYES OPTICAL CO OF PENNSYLVANIA
Authorized official	KIM GRIFFIN - (MANAGER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	09/12/2018
Last updated	09/12/2018 - About 8 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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