Provider Demographics
NPI:1447441886
Name:EAGLE'S VISION ENTERPRISES
Entity type:Organization
Organization Name:EAGLE'S VISION ENTERPRISES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:OLIVIA
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:GRANT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-704-9947
Mailing Address - Street 1:701 FOREST HILLS DR
Mailing Address - Street 2:#1001
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76011-8301
Mailing Address - Country:US
Mailing Address - Phone:817-704-9947
Mailing Address - Fax:
Practice Address - Street 1:701 FOREST HILLS DR
Practice Address - Street 2:#1001
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76011-8301
Practice Address - Country:US
Practice Address - Phone:817-704-9947
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-08
Last Update Date:2007-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health