Essilor Laboratories of America, Inc

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

ESSILOR LABORATORIES OF AMERICA, INC

Doing business as

Custom Eyes

Practice address

8056 Centennial Expy
Rock Island, IL 61201-7316

Phone

(800) 322-6754

NPI assigned

Aug 5, 2007

Last updated

Aug 6, 2007By the provider in NPPES

Organization subpart

Yes

Parent organization

EOA HOLDING CO., INC.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Real Goulet

Title

Sr. Vice President, National Labs

Phone

(214) 496-4105

Specialties & licenses 1

Addresses

Other names 1

• Custom Eyes Doing business as

Tax ID family

Essilor Laboratories of America Inc69 organizations share this tax ID, including this one

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186358400000",
    "number": "1235320532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13515 N STEMMONS FWY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752345765",
            "telephone_number": "800-843-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8056 CENTENNIAL EXPY",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612017316",
            "telephone_number": "800-322-6754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSILOR LABORATORIES OF AMERICA, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EOA HOLDING CO., INC.",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-08-06",
        "status": "A",
        "authorized_official_last_name": "GOULET",
        "authorized_official_first_name": "REAL",
        "authorized_official_title_or_position": "SR. VICE PRESIDENT, NATIONAL LABS",
        "authorized_official_telephone_number": "214-496-4105"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Custom Eyes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bernardita R Enriquez, M.D.
• Felipe Peren Enriquez, MD
• Jennifer Marie Erickson, BSN, RN, SANE-A
• Enrique Escamilla, CADC
• Abbey Esparza
• Anwi Etame, OD
• Erin Marie Evans-Walker, MD
• Doyle Evans, MSW, LCSW, LISW
• Jessica Eversole
• Expressions of Life Chiropractic Studio

• Eyewear Supplier in Rock Island, IL
• Providers in Rock Island, IL by specialty
• Eyewear Supplier in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.