Provider Demographics
NPI:1407850456
Name:NEW VISIONS MEDICAL EQUIPMENT, INC.
Entity Type:Organization
Organization Name:NEW VISIONS MEDICAL EQUIPMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:B
Authorized Official - Last Name:HOMAN
Authorized Official - Suffix:
Authorized Official - Credentials:ATP, CRTS
Authorized Official - Phone:419-678-4979
Mailing Address - Street 1:4108 STATE ROUTE 118
Mailing Address - Street 2:
Mailing Address - City:COLDWATER
Mailing Address - State:OH
Mailing Address - Zip Code:45828-9751
Mailing Address - Country:US
Mailing Address - Phone:419-678-4979
Mailing Address - Fax:419-678-8258
Practice Address - Street 1:4108 STATE ROUTE 118
Practice Address - Street 2:
Practice Address - City:COLDWATER
Practice Address - State:OH
Practice Address - Zip Code:45828-9751
Practice Address - Country:US
Practice Address - Phone:419-678-4979
Practice Address - Fax:419-678-8258
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-08
Last Update Date:2016-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2039485Medicaid
OH2039485Medicaid