Provider Demographics
NPI:1821200601
Name:SUNSET VISION, INC.
Entity Type:Organization
Organization Name:SUNSET VISION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTICIAN SOLE OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:T
Authorized Official - Last Name:CIGALOTTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-572-7954
Mailing Address - Street 1:8259 SUNSET STRIP
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33322-3058
Mailing Address - Country:US
Mailing Address - Phone:954-572-7954
Mailing Address - Fax:954-572-9974
Practice Address - Street 1:8259 SUNSET STRIP
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33322-3058
Practice Address - Country:US
Practice Address - Phone:954-572-7954
Practice Address - Fax:954-572-9974
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDO2372156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0889140001Medicare NSC