Provider Demographics
NPI:1780838151
Name:VISION PRO
Entity Type:Organization
Organization Name:VISION PRO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HOPP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:218-724-1341
Mailing Address - Street 1:5211 HWY 110
Mailing Address - Street 2:WHITE COMMUNITY HOSPITAL
Mailing Address - City:AURORA
Mailing Address - State:MN
Mailing Address - Zip Code:55705
Mailing Address - Country:US
Mailing Address - Phone:218-229-1010
Mailing Address - Fax:218-229-1010
Practice Address - Street 1:5211 HWY 110
Practice Address - Street 2:WHITE COMMUNITY HOSPITAL
Practice Address - City:AURORA
Practice Address - State:MN
Practice Address - Zip Code:55705
Practice Address - Country:US
Practice Address - Phone:218-229-1010
Practice Address - Fax:218-229-1010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-11
Last Update Date:2008-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty