Provider Demographics
NPI:1164236113
Name:THE LOOKMOBILE LLC
Entity type:Organization
Organization Name:THE LOOKMOBILE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:T
Authorized Official - Last Name:RUDOLPH
Authorized Official - Suffix:
Authorized Official - Credentials:ABOC
Authorized Official - Phone:724-605-5202
Mailing Address - Street 1:438 HACKE LN
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-4679
Mailing Address - Country:US
Mailing Address - Phone:724-605-5202
Mailing Address - Fax:
Practice Address - Street 1:438 HACKE LN
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-4679
Practice Address - Country:US
Practice Address - Phone:724-605-5202
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-01
Last Update Date:2025-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier