1588971923 NPI number — VISIONS EYE CARE CT.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1588971923 NPI number — VISIONS EYE CARE CT.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
VISIONS EYE CARE CT.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1588971923
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/07/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4357NEW FALLS RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LEVITTOWN
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19056
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
215-943-8055
Provider Business Mailing Address Fax Number:
215-943-4636

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4357 NEW FALLS ROAD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LEVITTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19056
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-943-8055
Provider Business Practice Location Address Fax Number:
215-943-4636
Provider Enumeration Date:
09/07/2010

Additional Information

Authorized Official

Authorized Official Last Name:
BORRELLI
Authorized Official First Name:
VINCENT
Authorized Official Middle Name:
J
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
215-943-8055

Provider Taxonomy Codes

  • Taxonomy code: 156FX1800X , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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