Provider Demographics
NPI:1598387979
Name:A BRIGHTER VISION SERVICES INC.
Entity Type:Organization
Organization Name:A BRIGHTER VISION SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEZERT
Authorized Official - Middle Name:
Authorized Official - Last Name:DE BARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-312-2763
Mailing Address - Street 1:19620 NW 57TH PL
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33015-4923
Mailing Address - Country:US
Mailing Address - Phone:786-312-2763
Mailing Address - Fax:
Practice Address - Street 1:19620 NW 57TH PL
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33015-4923
Practice Address - Country:US
Practice Address - Phone:786-312-2763
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-08
Last Update Date:2020-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251E00000XAgenciesHome Health