Provider Demographics
NPI:1376882613
Name:DESIGN VISION, INC.
Entity Type:Organization
Organization Name:DESIGN VISION, INC.
Other - Org Name:DESIGN VISION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:TOMASIK
Authorized Official - Last Name:SEEMANN
Authorized Official - Suffix:
Authorized Official - Credentials:OPTICIAN
Authorized Official - Phone:414-774-0200
Mailing Address - Street 1:8720 W NORTH AVE
Mailing Address - Street 2:
Mailing Address - City:WAUWATOSA
Mailing Address - State:WI
Mailing Address - Zip Code:53226-2724
Mailing Address - Country:US
Mailing Address - Phone:414-774-0200
Mailing Address - Fax:414-774-0201
Practice Address - Street 1:8720 W NORTH AVE
Practice Address - Street 2:
Practice Address - City:WAUWATOSA
Practice Address - State:WI
Practice Address - Zip Code:53226-2724
Practice Address - Country:US
Practice Address - Phone:414-774-0200
Practice Address - Fax:414-774-0201
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DESIGN VISION, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-02-06
Last Update Date:2013-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI05339156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty