Provider Demographics
NPI:1013057744
Name:VISION MASTERS INC
Entity Type:Organization
Organization Name:VISION MASTERS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:FEDERSPILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-888-9755
Mailing Address - Street 1:3100 MERIDIAN PARKE DR
Mailing Address - Street 2:SUITE J
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46142-9427
Mailing Address - Country:US
Mailing Address - Phone:317-888-9755
Mailing Address - Fax:317-888-9768
Practice Address - Street 1:3100 MERIDIAN PARKE DR
Practice Address - Street 2:SUITE J
Practice Address - City:GREENWOOD
Practice Address - State:IN
Practice Address - Zip Code:46142-9427
Practice Address - Country:US
Practice Address - Phone:317-888-9755
Practice Address - Fax:317-888-9768
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-08
Last Update Date:2013-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN0615560001Medicare PIN
IN0615560001Medicare NSC