Organization
FOR EYES OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE COSTA (CEO)
(305) 557-9004
Entity
Organization
Contact information
Practice address
2606 W SCHAUMBURG ROAD, SCHAUMBURG, IL 60194
(800) 325-3276
Mailing address
PO BOX 102472, ATLANTA, GA 30368-2472
(800) 325-3276
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
10/31/2012
Last updated
12/14/2018
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