Provider Demographics
NPI:1821250374
Name:DIAMOND VISION CORP
Entity Type:Organization
Organization Name:DIAMOND VISION CORP
Other - Org Name:GENERAL VISION SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:OLEG
Authorized Official - Middle Name:
Authorized Official - Last Name:MAZIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-726-5503
Mailing Address - Street 1:3042 STEINWAY ST
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11103-3802
Mailing Address - Country:US
Mailing Address - Phone:718-726-5503
Mailing Address - Fax:718-726-5514
Practice Address - Street 1:3042 STEINWAY ST
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11103-3802
Practice Address - Country:US
Practice Address - Phone:718-726-5503
Practice Address - Fax:718-726-5514
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-26
Last Update Date:2008-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV006236332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier