Provider Demographics
NPI:1184785594
Name:AMERICAN VISION CENTER
Entity type:Organization
Organization Name:AMERICAN VISION CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SHERI
Authorized Official - Middle Name:
Authorized Official - Last Name:FRIEDLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:912-264-3012
Mailing Address - Street 1:903 GLYNN ISLE
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:GA
Mailing Address - Zip Code:31525-2938
Mailing Address - Country:US
Mailing Address - Phone:912-264-3012
Mailing Address - Fax:912-264-5237
Practice Address - Street 1:903 GLYNN ISLE
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:GA
Practice Address - Zip Code:31525-2938
Practice Address - Country:US
Practice Address - Phone:912-264-3012
Practice Address - Fax:912-264-5237
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-12
Last Update Date:2009-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier