Provider Demographics
NPI:1275718629
Name:JAMES PATRICK BOZZUTO
Entity Type:Organization
Organization Name:JAMES PATRICK BOZZUTO
Other - Org Name:VISION ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:P
Authorized Official - Last Name:BOZZUTO
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:570-654-2020
Mailing Address - Street 1:6 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:PITTSTON
Mailing Address - State:PA
Mailing Address - Zip Code:18640-1806
Mailing Address - Country:US
Mailing Address - Phone:570-654-2020
Mailing Address - Fax:570-655-6516
Practice Address - Street 1:6 N MAIN ST
Practice Address - Street 2:
Practice Address - City:PITTSTON
Practice Address - State:PA
Practice Address - Zip Code:18640-1806
Practice Address - Country:US
Practice Address - Phone:570-654-2020
Practice Address - Fax:570-655-6516
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-04
Last Update Date:2013-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0848750002Medicare NSC