Provider Demographics
NPI:1912194234
Name:VISUAL STRATEGIES OF APPLE VALLEY LLC
Entity Type:Organization
Organization Name:VISUAL STRATEGIES OF APPLE VALLEY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VISUAL TRAINER
Authorized Official - Prefix:MS
Authorized Official - First Name:HEMMA
Authorized Official - Middle Name:MARIA THERESIA
Authorized Official - Last Name:RUSOFF
Authorized Official - Suffix:
Authorized Official - Credentials:VT
Authorized Official - Phone:952-270-8032
Mailing Address - Street 1:7373 147TH ST W
Mailing Address - Street 2:SUITE 144
Mailing Address - City:APPLE VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55124-7690
Mailing Address - Country:US
Mailing Address - Phone:952-270-8032
Mailing Address - Fax:952-431-3909
Practice Address - Street 1:7373 147TH ST W
Practice Address - Street 2:SUITE 144
Practice Address - City:APPLE VALLEY
Practice Address - State:MN
Practice Address - Zip Code:55124-7690
Practice Address - Country:US
Practice Address - Phone:952-270-8032
Practice Address - Fax:952-431-3909
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VISUAL STRATEGIES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-10-01
Last Update Date:2007-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WV0400XEye and Vision Services ProvidersOptometristVision TherapyGroup - Single Specialty