Provider Demographics
NPI:1508918905
Name:VISION ASSOCIATES
Entity Type:Organization
Organization Name:VISION ASSOCIATES
Other - Org Name:BARSAMIAN ARA & DEBRA SLEIGHT PTR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:
Authorized Official - Last Name:SLEIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:508-481-4900
Mailing Address - Street 1:103 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MARLBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01752-3803
Mailing Address - Country:US
Mailing Address - Phone:508-481-4900
Mailing Address - Fax:508-481-3244
Practice Address - Street 1:103 MAIN ST
Practice Address - Street 2:
Practice Address - City:MARLBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01752-3803
Practice Address - Country:US
Practice Address - Phone:508-481-4900
Practice Address - Fax:508-481-3244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-17
Last Update Date:2012-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3717152W00000X
MA3885152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
0026525Medicare PIN
1262590001Medicare NSC