Provider Demographics
NPI:1689302416
Name:VISION WORLD LLC
Entity Type:Organization
Organization Name:VISION WORLD LLC
Other - Org Name:VISION WORLD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SORAYA
Authorized Official - Middle Name:
Authorized Official - Last Name:LUGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-630-0350
Mailing Address - Street 1:8 CALLE BENITO FEIJOO
Mailing Address - Street 2:URB VILLAS DEL ESTE
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-6900
Mailing Address - Country:US
Mailing Address - Phone:787-903-5353
Mailing Address - Fax:787-903-5353
Practice Address - Street 1:BO DOS BOCAS VIA ENCANTADA C2 LOCAL A2
Practice Address - Street 2:PLAZA ENCANTADA
Practice Address - City:TRUJILLO ALTO
Practice Address - State:PR
Practice Address - Zip Code:00976-5807
Practice Address - Country:US
Practice Address - Phone:787-903-5353
Practice Address - Fax:787-903-5353
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-10
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
No332H00000XSuppliersEyewear Supplier