Organization
EYETIQUE INC
Active
Other names
Eyetique
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY L SHORT (CREDENTIALING MANAGER)
(618) 462-9818
Entity
Organization
Contact information
Practice address
3330 KENT RD, STOW, OH 44224
(330) 688-8244
(330) 688-9550
Mailing address
211 E BROADWAY, ALTON, IL 62002-6220
(618) 462-9818
(314) 741-4947
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
05/01/2018
Last updated
07/15/2020
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