Eyewearhaus, Inc

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

EYEWEARHAUS, INC

Practice address

745 N New Ballas Rd
Saint Louis, MO 63141-6715

Phone

(314) 567-7423

Fax

(314) 567-7562

NPI assigned

Jun 25, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Michael L Harris, ABOC

Title

President

Phone

(314) 567-7423

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1619139367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 N NEW BALLAS RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416715",
            "telephone_number": "314-567-7423",
            "fax_number": "314-567-7562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 N NEW BALLAS RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416715",
            "telephone_number": "314-567-7423",
            "fax_number": "314-567-7562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYEWEARHAUS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-25",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-567-7423",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ABOC"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eye Physicians of Saint Louis
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• Eyecare Management LLC
• Blake Thomas Eyres, D.D.S.
• Chisom Eze, MD
• Carla Ezell
• Chime Ezenekwe
• Vanisa Ezukuse, M.D.

• Eyewear Supplier in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Eyewear Supplier in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; 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.