Organization
FOR EYES OPTICAL CO, INC
Active
Other names
For Eyes Optical
Organization subpart
No
Provider details
NPI number
Authorized official
KIM GRIFFIN (MANAGER)
(305) 557-9004
Entity
Organization
Contact information
Practice address
1020 EL PASEO DE SARATOGA, SAN JOSE, CA 95130-1630
(408) 364-1200
Mailing address
3601 SW 160TH AVE STE 400, MIRAMAR, FL 33027-6312
(305) 557-9004
(855) 881-9434
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
SL 5503
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0712100008
PROVIDER TRANSACTION ACCESS NUMBER (PTAN)
CA
Enumeration date
02/06/2007
Last updated
01/03/2023
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