Provider Demographics
NPI:1235257924
Name:VISION SERVICE PLAN
Entity Type:Organization
Organization Name:VISION SERVICE PLAN
Other - Org Name:VSP
Other - Org Type:Other Name
Authorized Official - Title/Position:STAFF ATTORNEY
Authorized Official - Prefix:MR
Authorized Official - First Name:STUART
Authorized Official - Middle Name:L
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:ESQ
Authorized Official - Phone:916-851-4922
Mailing Address - Street 1:3333 QUALITY DR
Mailing Address - Street 2:
Mailing Address - City:RANCHO CORDOVA
Mailing Address - State:CA
Mailing Address - Zip Code:95670-7985
Mailing Address - Country:US
Mailing Address - Phone:916-851-4922
Mailing Address - Fax:916-851-4851
Practice Address - Street 1:3333 QUALITY DR
Practice Address - Street 2:
Practice Address - City:RANCHO CORDOVA
Practice Address - State:CA
Practice Address - Zip Code:95670-7985
Practice Address - Country:US
Practice Address - Phone:916-851-4922
Practice Address - Fax:916-851-4851
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA9330049302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization