Provider Demographics
NPI:1710014360
Name:DESIGN FOR VISION INC.
Entity Type:Organization
Organization Name:DESIGN FOR VISION INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:MR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:ROGER
Authorized Official - Last Name:MANNING
Authorized Official - Suffix:JR
Authorized Official - Credentials:OPTICIAN
Authorized Official - Phone:215-295-9000
Mailing Address - Street 1:MORRISVILLE SHOPPING CTR
Mailing Address - Street 2:1 EAST TRENTON AVE. SUITE #12
Mailing Address - City:MORRISVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19067
Mailing Address - Country:US
Mailing Address - Phone:215-295-9000
Mailing Address - Fax:215-295-8778
Practice Address - Street 1:MORRISVILLE SHOPPING CTR
Practice Address - Street 2:1 EAST TRENTON AVE. SUITE #12
Practice Address - City:MORRISVILLE
Practice Address - State:PA
Practice Address - Zip Code:19067
Practice Address - Country:US
Practice Address - Phone:215-295-9000
Practice Address - Fax:215-295-8778
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2013-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PADE284032OtherBCBS
PADE284032OtherBCBS