For Eyes Optical of PA

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

FOR EYES OPTICAL OF PA

Doing business as

For Eyes

Practice address

637 E Roosevelt Rd
Lombard, IL 60148-4740

Phone

(630) 629-5044

Fax

(630) 629-6926

NPI assigned

Jan 8, 2007

Reactivated

Aug 1, 2013

Last updated

Feb 26, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kim Griffin

Title

Manager

Phone

(305) 557-9004

Specialties & licenses 1

Addresses

Other names 1

• For Eyes Doing business as

Locations

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582675200000",
    "number": "1447308093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 SW 160TH AVE STE 400",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330276312",
            "telephone_number": "305-557-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 E ROOSEVELT RD",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601484740",
            "telephone_number": "630-629-5044",
            "fax_number": "630-629-6926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOR EYES OPTICAL OF PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "deactivation_date": "2013-07-15",
        "reactivation_date": "2013-08-01",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "305-557-9004"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "For Eyes",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "For Eyes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Meghan Flynn Colan, MS CCC-SLP
• Amy Flynt, LCSW
• Danny Fong, DDS
• Kelsey Fontano, LCPC
• Jaydienne Paulisa Cruz Fontejon, DPM
• For Eyes Optical of PA
• Laurent J Forcioli, D.D.S.
• Peggy Patricia Fornero, PTA
• Holly Joel Forsyth, LCSW
• Emily Rae Forsythe, DNP

• Eyewear Supplier in Lombard, IL
• Providers in Lombard, IL by specialty
• Eyewear Supplier in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; 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.