Provider Demographics
NPI:1700034816
Name:VISIONETIS OPTICAL INC.
Entity Type:Organization
Organization Name:VISIONETIS OPTICAL INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:J
Authorized Official - Last Name:LONDINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-536-0620
Mailing Address - Street 1:89 S WEST END BLVD
Mailing Address - Street 2:
Mailing Address - City:QUAKERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18951-1138
Mailing Address - Country:US
Mailing Address - Phone:215-536-0620
Mailing Address - Fax:215-538-1670
Practice Address - Street 1:89 S WEST END BLVD
Practice Address - Street 2:
Practice Address - City:QUAKERTOWN
Practice Address - State:PA
Practice Address - Zip Code:18951
Practice Address - Country:US
Practice Address - Phone:215-536-0620
Practice Address - Fax:215-538-1670
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-03
Last Update Date:2012-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA6000001576332H00000X, 332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
No332S00000XSuppliersHearing Aid Equipment