Provider Demographics
NPI:1619398666
Name:OMNI VISION HOLDINGS, INC.
Entity Type:Organization
Organization Name:OMNI VISION HOLDINGS, INC.
Other - Org Name:EYE TO EYE VISION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:RUVIO
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:212-349-1313
Mailing Address - Street 1:79 NASSAU ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10038-3704
Mailing Address - Country:US
Mailing Address - Phone:212-349-1313
Mailing Address - Fax:212-349-1311
Practice Address - Street 1:79 NASSAU ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038-3704
Practice Address - Country:US
Practice Address - Phone:212-349-1313
Practice Address - Fax:212-349-1311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-18
Last Update Date:2013-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty