Provider Demographics
NPI:1033665328
Name:GIP VISION INC
Entity Type:Organization
Organization Name:GIP VISION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GARY
Authorized Official - Middle Name:IGOR
Authorized Official - Last Name:PLASK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-929-7771
Mailing Address - Street 1:2403 S STEMMONS FWY
Mailing Address - Street 2:SUITE 113
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75067
Mailing Address - Country:US
Mailing Address - Phone:972-316-1113
Mailing Address - Fax:
Practice Address - Street 1:2403 S STEMMONS FWY
Practice Address - Street 2:SUITE 113
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75067
Practice Address - Country:US
Practice Address - Phone:972-316-1113
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-28
Last Update Date:2016-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier