Organization
AMERICAN EYEWEAR, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP W TEKNIPP (PRESIDENT)
(440) 943-6858
Entity
Organization
Contact information
Practice address
32313 VINE STREET, WILLOWICK, OH 44095
(440) 943-6858
Mailing address
32313 VINE STREET, WILLOWICK, OH 44095
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
OH4720
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000266380
ANTHEM PIN NUMBER
OH
Enumeration date
10/03/2006
Last updated
08/22/2020
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