1003526393 NPI number — VISION FOCUSED OPTIX

Table of content: (NPI 1003526393)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1003526393 NPI number — VISION FOCUSED OPTIX

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
VISION FOCUSED OPTIX
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:
1003526393
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/28/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 40543
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
RALEIGH
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27629-0543
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
919-820-0262
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4TH FLOOR, UNIT 7, BLOCK C,
Provider Second Line Business Practice Location Address:
BUILDING 25, SUNSHINE COMMUNITY
Provider Business Practice Location Address City Name:
YIWU
Provider Business Practice Location Address State Name:
ZHEJIANG
Provider Business Practice Location Address Postal Code:
322000
Provider Business Practice Location Address Country Code:
CN
Provider Business Practice Location Address Telephone Number:
861-835-7910
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/28/2022

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
GREEN
Authorized Official First Name:
PORSCHA
Authorized Official Middle Name:
N
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
919-820-0262

Provider Taxonomy Codes

  • Taxonomy code: 332H00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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