Organization

Eye Clinic,llc

Clinic/Center in St. Thomas, VI(View on Map)

Legal Business Name

Eye Clinic,llc

NPI Number

1316186737

NPI Type

Organization

Enumeration Date

02/09/2009

Specialties

(Taxonomies)

Code

261Q00000X

Primary Taxonomy

Yes

Licenses

State

Virgin Islands

License Number

VI1290

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 302682
9151 ESTATE THOMAS

City

St. Thomas
St. Thomas

State

VI
VI

Postal Code

00803
00802

Country

US
US

Telephone Number

(340) 774-1531
(340) 774-1531

Authorized Official

Name

Dr. Kidane Assefa

Title or Position

OWNER

Telephone Number

(340) 774-1531

Identifiers

Identifier

1720185184

Identifier State

VI

Identifier Issuer

NPI

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 12/06/2012

Provider Address

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