Provider Demographics
NPI:1184189961
Name:BRIGHT VIEW FAMILY VISION, P.C.
Entity Type:Organization
Organization Name:BRIGHT VIEW FAMILY VISION, P.C.
Other - Org Name:BRIGHT VIEW FAMILY VISION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:D
Authorized Official - Last Name:ALLSPAW
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:317-707-6165
Mailing Address - Street 1:8111 E US HIGHWAY 36
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:IN
Mailing Address - Zip Code:46123-7964
Mailing Address - Country:US
Mailing Address - Phone:317-707-6165
Mailing Address - Fax:
Practice Address - Street 1:8111 E US HIGHWAY 36
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:IN
Practice Address - Zip Code:46123-7964
Practice Address - Country:US
Practice Address - Phone:317-997-7531
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-05
Last Update Date:2019-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty