Provider Demographics
NPI:1174184204
Name:VISION ONE CORPORATION
Entity Type:Organization
Organization Name:VISION ONE CORPORATION
Other - Org Name:OPTICAL SUPERCENTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ERIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:SERRANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-830-9000
Mailing Address - Street 1:3241 AVE MILITAR
Mailing Address - Street 2:
Mailing Address - City:ISABELA
Mailing Address - State:PR
Mailing Address - Zip Code:00662-4091
Mailing Address - Country:US
Mailing Address - Phone:787-830-9000
Mailing Address - Fax:787-830-9001
Practice Address - Street 1:88 CALLE CORDOBA
Practice Address - Street 2:
Practice Address - City:AGUADILLA
Practice Address - State:PR
Practice Address - Zip Code:00603-5845
Practice Address - Country:US
Practice Address - Phone:787-882-8367
Practice Address - Fax:787-882-8365
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-28
Last Update Date:2022-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
No332H00000XSuppliersEyewear SupplierGroup - Single Specialty