Provider Demographics
NPI:1336283316
Name:VISION CARE ASSOCIATES
Entity Type:Organization
Organization Name:VISION CARE ASSOCIATES
Other - Org Name:VISION CARE ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLERK
Authorized Official - Prefix:MS
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:J
Authorized Official - Last Name:OLIVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-346-0323
Mailing Address - Street 1:600 FRANKLIN STREET
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12305
Mailing Address - Country:US
Mailing Address - Phone:518-346-0323
Mailing Address - Fax:518-372-5376
Practice Address - Street 1:600 FRANKLIN STREET
Practice Address - Street 2:SUITE 101
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12305
Practice Address - Country:US
Practice Address - Phone:518-346-0323
Practice Address - Fax:518-372-5376
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-16
Last Update Date:2016-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
0631900001Medicare NSC