Provider Demographics
NPI:1083468946
Name:VISOLOGY INC
Entity Type:Organization
Organization Name:VISOLOGY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MOISES
Authorized Official - Middle Name:
Authorized Official - Last Name:FRIDZON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-541-7999
Mailing Address - Street 1:20815 NE 16TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33179-2138
Mailing Address - Country:US
Mailing Address - Phone:305-541-7999
Mailing Address - Fax:
Practice Address - Street 1:2991 CRANBERRY HWY
Practice Address - Street 2:
Practice Address - City:EAST WAREHAM
Practice Address - State:MA
Practice Address - Zip Code:02538-1354
Practice Address - Country:US
Practice Address - Phone:305-541-7999
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VISOLOGY INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-04-16
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier