Provider Demographics
NPI:1235799784
Name:VISION PERFECT LLC
Entity Type:Organization
Organization Name:VISION PERFECT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:AZAD
Authorized Official - Middle Name:
Authorized Official - Last Name:ABULAKALM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-265-3100
Mailing Address - Street 1:100 MAIN ST STE 110
Mailing Address - Street 2:
Mailing Address - City:KING OF PRUSSIA
Mailing Address - State:PA
Mailing Address - Zip Code:19406-1385
Mailing Address - Country:US
Mailing Address - Phone:610-265-3100
Mailing Address - Fax:610-265-3500
Practice Address - Street 1:100 MAIN ST STE 110
Practice Address - Street 2:
Practice Address - City:KING OF PRUSSIA
Practice Address - State:PA
Practice Address - Zip Code:19406-1385
Practice Address - Country:US
Practice Address - Phone:610-265-3100
Practice Address - Fax:610-265-3500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-17
Last Update Date:2019-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WL0500XEye and Vision Services ProvidersOptometristLow Vision RehabilitationGroup - Multi-Specialty
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact ManagementGroup - Multi-Specialty
No152WX0102XEye and Vision Services ProvidersOptometristOccupational VisionGroup - Multi-Specialty