Provider Demographics
NPI:1275955122
Name:DESIGN FOR VISION INC.
Entity Type:Organization
Organization Name:DESIGN FOR VISION INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL BILLER
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:IBARRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-945-8820
Mailing Address - Street 1:2395 YORK RD
Mailing Address - Street 2:UNIT 12
Mailing Address - City:JAMISON
Mailing Address - State:PA
Mailing Address - Zip Code:18929-1071
Mailing Address - Country:US
Mailing Address - Phone:215-491-2020
Mailing Address - Fax:267-483-8779
Practice Address - Street 1:2395 YORK RD
Practice Address - Street 2:UNIT 12
Practice Address - City:JAMISON
Practice Address - State:PA
Practice Address - Zip Code:18929-1071
Practice Address - Country:US
Practice Address - Phone:215-491-2020
Practice Address - Fax:267-483-8779
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DESIGN FOR VISION INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-01-13
Last Update Date:2014-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier