Provider Demographics
NPI:1003076951
Name:VISION 27, INC
Entity Type:Organization
Organization Name:VISION 27, INC
Other - Org Name:VISION 27
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPTOMETRIC PHYSICIAN/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TONY
Authorized Official - Middle Name:KIN TONG
Authorized Official - Last Name:HOM
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:732-248-8889
Mailing Address - Street 1:1700 STATE ROUTE 27 FL 1
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08817-3449
Mailing Address - Country:US
Mailing Address - Phone:732-248-8889
Mailing Address - Fax:732-248-2979
Practice Address - Street 1:1700 STATE ROUTE 27 FL 1
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08817-3449
Practice Address - Country:US
Practice Address - Phone:732-248-8889
Practice Address - Fax:732-248-2979
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-13
Last Update Date:2008-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OA00510000152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJO459101Medicaid
NJU24476Medicare UPIN