Provider Demographics
NPI:1003685595
Name:2U VISION, LLC
Entity Type:Organization
Organization Name:2U VISION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:W
Authorized Official - Last Name:KODA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-997-1116
Mailing Address - Street 1:2000 E OAKLEY PARK RD #220
Mailing Address - Street 2:
Mailing Address - City:COMMERCE TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48390
Mailing Address - Country:US
Mailing Address - Phone:947-479-1039
Mailing Address - Fax:248-833-8581
Practice Address - Street 1:2000 E OAKLEY PARK RD #220
Practice Address - Street 2:
Practice Address - City:COMMERCE TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48390
Practice Address - Country:US
Practice Address - Phone:947-479-1039
Practice Address - Fax:248-833-8581
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-26
Last Update Date:2023-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier