Healthcare Provider Details

I. General information

NPI: 1710029640
Provider Name (Legal Business Name): EOY,LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2007
Last Update Date: 12/11/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1374 GRANDVIEW AVE
COLUMBUS OH
43212-2803
US

IV. Provider business mailing address

3026 GOLDEN OAK DR
HILLIARD OH
43026-7981
US

V. Phone/Fax

Practice location:
  • Phone: 614-488-1180
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number4233
License Number StateOH

VIII. Authorized Official

Name: DR. SHERRI REED
Title or Position: OWNER
Credential:
Phone: 614-488-1180