Provider Demographics
NPI:1619342136
Name:VIZION HEALTH OKLAHOMA
Entity Type:Organization
Organization Name:VIZION HEALTH OKLAHOMA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:EDWIN
Authorized Official - Last Name:SCHNEIDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-717-8614
Mailing Address - Street 1:10935 WINDS CROSSING DR
Mailing Address - Street 2:SUITE 700
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28273-2402
Mailing Address - Country:US
Mailing Address - Phone:704-981-2161
Mailing Address - Fax:310-451-9092
Practice Address - Street 1:130 A ST SW
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:OK
Practice Address - Zip Code:74354-6806
Practice Address - Country:US
Practice Address - Phone:504-717-8614
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-09
Last Update Date:2015-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital
No322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children