Provider Demographics
NPI:1639215445
Name:VISION LOSS SOLUTIONS, LLC
Entity Type:Organization
Organization Name:VISION LOSS SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:B
Authorized Official - Last Name:CATANIA
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:610-308-2212
Mailing Address - Street 1:199 CARRIAGE CT
Mailing Address - Street 2:
Mailing Address - City:HARLEYSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19438-1766
Mailing Address - Country:US
Mailing Address - Phone:610-308-2212
Mailing Address - Fax:215-256-3090
Practice Address - Street 1:501 N 17TH ST
Practice Address - Street 2:SUITE 203
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-5044
Practice Address - Country:US
Practice Address - Phone:610-308-2212
Practice Address - Fax:215-256-3090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2010-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOE06556T152WL0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WL0500XEye and Vision Services ProvidersOptometristLow Vision RehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA900528OtherADVANTRA FREEDOM
PA50053876OtherCAPITAL BLUE CROSS
PA3226736OtherCOVENTRY HEALTH CARE
PA50053876OtherCAPITAL BLUE CROSS
PA093210Medicare PIN
PAU08190Medicare UPIN