Provider Demographics
NPI:1497109896
Name:TOTAL VISION INSTITUTE DBA BERNITSKY VISION PC
Entity Type:Organization
Organization Name:TOTAL VISION INSTITUTE DBA BERNITSKY VISION PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:WOLZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-340-8750
Mailing Address - Street 1:29684 NETWORK PL
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60673-1292
Mailing Address - Country:US
Mailing Address - Phone:561-965-9110
Mailing Address - Fax:706-243-4627
Practice Address - Street 1:1555 PALM BEACH LAKES BLVD
Practice Address - Street 2:SUITE 600
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-2323
Practice Address - Country:US
Practice Address - Phone:561-965-9110
Practice Address - Fax:706-243-4627
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-21
Last Update Date:2018-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS0132XAmbulatory Health Care FacilitiesClinic/CenterOphthalmologic Surgery