Provider Demographics
NPI:1487460879
Name:ADA & OSH ONLINE ENTERPRISES INC
Entity type:Organization
Organization Name:ADA & OSH ONLINE ENTERPRISES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST/DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ADA
Authorized Official - Middle Name:DANIELLA
Authorized Official - Last Name:IRYMHEKHA
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:437-999-5776
Mailing Address - Street 1:2280 BARONWOOD DRIVE
Mailing Address - Street 2:UNIT 89
Mailing Address - City:OAKVILLE
Mailing Address - State:ONTARIO
Mailing Address - Zip Code:LGM OK4
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2280 BARONWOOD DRIVE
Practice Address - Street 2:UNIT 89
Practice Address - City:OAKVILLE
Practice Address - State:ONTARIO
Practice Address - Zip Code:LGM OK4
Practice Address - Country:CA
Practice Address - Phone:437-999-5776
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-10
Last Update Date:2024-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty