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EAGLE EYE VISION SERVICES

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Company Details

Name: EAGLE EYE VISION SERVICES
Jurisdiction: Idaho
Legal type: Assumed Business Name
Status: Active-Current
Date of registration: 01 Mar 2004 (21 years ago)
Entity Number: 231449
Place of Formation: IDAHO
File Number: 0000231449
ZIP code: 83835
County: Kootenai County
Mailing Address: PO BOX 2592 HAYDEN, ID 83835

National Provider Identifier

NPI Number:
1447496427

Authorized Person:

Name:
ROY LAVERN CLAPPER
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
152W00000X - Optometrist
Is Primary:
Yes

Contacts:

Fax:
2086767384
Fax:
2076767384

Filing

Filing Name Filing Number Filing date
Initial Filing 0000231449 2004-03-01

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Date of last update: 24 Sep 2024

Sources: Idaho Secretary of State