Provider Demographics
NPI:1821016569
Name:VAL-U-VISION INC
Entity Type:Organization
Organization Name:VAL-U-VISION INC
Other - Org Name:VAL-U-VISION OF REGENCY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:I
Authorized Official - Last Name:RAUCHWARGER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:904-721-7700
Mailing Address - Street 1:9400 ATLANTIC BLVD
Mailing Address - Street 2:SUITE 62
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32225-8255
Mailing Address - Country:US
Mailing Address - Phone:904-721-7700
Mailing Address - Fax:904-721-0051
Practice Address - Street 1:9400 ATLANTIC BLVD
Practice Address - Street 2:SUITE 62
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32225-8255
Practice Address - Country:US
Practice Address - Phone:904-721-7700
Practice Address - Fax:904-721-0051
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-18
Last Update Date:2015-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL620552600Medicaid
FL45648OtherBCBS
FL620552600Medicaid
FLK0919Medicare PIN