Provider Demographics
NPI:1871831917
Name:VIVIAN DESCANT VISION CARE OD, LLC
Entity Type:Organization
Organization Name:VIVIAN DESCANT VISION CARE OD, LLC
Other - Org Name:VISION CARE INSIGHT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VIVIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DESCANT
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:215-257-3937
Mailing Address - Street 1:1139 N 5TH ST
Mailing Address - Street 2:
Mailing Address - City:PERKASIE
Mailing Address - State:PA
Mailing Address - Zip Code:18944-1868
Mailing Address - Country:US
Mailing Address - Phone:215-257-3937
Mailing Address - Fax:215-257-4251
Practice Address - Street 1:1139 N 5TH ST
Practice Address - Street 2:
Practice Address - City:PERKASIE
Practice Address - State:PA
Practice Address - Zip Code:18944-1868
Practice Address - Country:US
Practice Address - Phone:215-257-3937
Practice Address - Fax:215-257-4251
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-24
Last Update Date:2014-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty