Provider Demographics
NPI:1679352306
Name:MOBILEYES OPTOMETRY INC
Entity type:Organization
Organization Name:MOBILEYES OPTOMETRY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHAD
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:FELLOWS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:802-654-7599
Mailing Address - Street 1:117 HIGHBRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VT
Mailing Address - Zip Code:05454-9717
Mailing Address - Country:US
Mailing Address - Phone:802-777-2015
Mailing Address - Fax:802-654-7592
Practice Address - Street 1:218 LOWER MOUNTAIN VIEW DR STE 2
Practice Address - Street 2:
Practice Address - City:COLCHESTER
Practice Address - State:VT
Practice Address - Zip Code:05446-8111
Practice Address - Country:US
Practice Address - Phone:802-654-7599
Practice Address - Fax:802-654-7592
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-22
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty