Provider Demographics
NPI:1629289889
Name:LOW VISION SERVICES INC
Entity Type:Organization
Organization Name:LOW VISION SERVICES INC
Other - Org Name:LOW VISION SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SANDY
Authorized Official - Middle Name:Y
Authorized Official - Last Name:YESNICK
Authorized Official - Suffix:
Authorized Official - Credentials:OTRL
Authorized Official - Phone:702-966-2020
Mailing Address - Street 1:9811 W CHARLESTON BLVD
Mailing Address - Street 2:#2171
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-7528
Mailing Address - Country:US
Mailing Address - Phone:702-966-2020
Mailing Address - Fax:702-966-2022
Practice Address - Street 1:5920 W FLAMINGO RD
Practice Address - Street 2:#8
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89103-0173
Practice Address - Country:US
Practice Address - Phone:702-966-2020
Practice Address - Fax:702-966-2022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-26
Last Update Date:2008-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVV38334Medicare PIN