Provider Demographics
NPI:1407992761
Name:VIP LOOK INC
Entity Type:Organization
Organization Name:VIP LOOK INC
Other - Org Name:VIP OPTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT OPTICIAN
Authorized Official - Prefix:MS
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:REBECCA
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-346-5665
Mailing Address - Street 1:455 N MAIN AVE
Mailing Address - Street 2:
Mailing Address - City:SCRANTON
Mailing Address - State:PA
Mailing Address - Zip Code:18504
Mailing Address - Country:US
Mailing Address - Phone:570-346-5665
Mailing Address - Fax:570-346-5665
Practice Address - Street 1:455 N MAIN AVE
Practice Address - Street 2:
Practice Address - City:SCRANTON
Practice Address - State:PA
Practice Address - Zip Code:18504
Practice Address - Country:US
Practice Address - Phone:570-346-5665
Practice Address - Fax:570-346-5665
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA6000005683332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA393725OtherNVA
PA240221OtherBCBS
PA393725OtherNVA