Provider Demographics
NPI:1093033763
Name:VISION WORLD OF JAMAICA AVEINC
Entity Type:Organization
Organization Name:VISION WORLD OF JAMAICA AVEINC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:INGA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZHUBRAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-657-4170
Mailing Address - Street 1:16803 JAMAICA AVE
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11432-5215
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:16803 JAMAICA AVE
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11432-5215
Practice Address - Country:US
Practice Address - Phone:718-657-4170
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-05
Last Update Date:2010-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center