Provider Demographics
NPI:1871765537
Name:EYE CITY, LLC
Entity type:Organization
Organization Name:EYE CITY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TED
Authorized Official - Middle Name:PETER
Authorized Official - Last Name:KARIBIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:254-338-7549
Mailing Address - Street 1:300 E FM 2410 RD
Mailing Address - Street 2:SUITE 109
Mailing Address - City:HARKER HEIGHTS
Mailing Address - State:TX
Mailing Address - Zip Code:76548-1893
Mailing Address - Country:US
Mailing Address - Phone:254-338-7549
Mailing Address - Fax:254-247-0455
Practice Address - Street 1:300 E FM 2410 RD
Practice Address - Street 2:SUITE 109
Practice Address - City:HARKER HEIGHTS
Practice Address - State:TX
Practice Address - Zip Code:76548-1893
Practice Address - Country:US
Practice Address - Phone:254-338-7549
Practice Address - Fax:254-247-0455
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-02
Last Update Date:2008-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier