Organization
ESTHETIC EYES INC
Active
Other names
Carole Lewis
Organization subpart
No
Provider details
NPI number
Authorized official
BELLA SHKOLNIK (BILLING MANAGER)
(310) 367-4695
Entity
Organization
Contact information
Practice address
9615 BRIGHTON WAY STE 313, BEVERLY HILLS, CA 90210-5152
(310) 271-8801
Mailing address
9615 BRIGHTON WAY STE 313, BEVERLY HILLS, CA 90210-5152
(310) 271-8801
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
89227-13
CA
335E00000X
Prosthetic/Orthotic Supplier
89227-13
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6105500001
MEDICARE PROVIDER TRANSACTION ACCOUNT NUMBER
CA
Enumeration date
03/25/2013
Last updated
12/24/2020
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