Provider Demographics
NPI:1467853606
Name:ORGAIN FAMILY VISION CARE
Entity Type:Organization
Organization Name:ORGAIN FAMILY VISION CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:STANFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-824-5486
Mailing Address - Street 1:131 INDIAN LAKE RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37075-3866
Mailing Address - Country:US
Mailing Address - Phone:615-824-5486
Mailing Address - Fax:615-824-1770
Practice Address - Street 1:131 INDIAN LAKE RD
Practice Address - Street 2:SUITE 100
Practice Address - City:HENDERSONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37075-3866
Practice Address - Country:US
Practice Address - Phone:615-824-5486
Practice Address - Fax:615-824-1770
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-08
Last Update Date:2014-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty