Provider Demographics
NPI:1215102553
Name:VISION WORLD OF THE BRONX INC
Entity type:Organization
Organization Name:VISION WORLD OF THE BRONX INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHERI
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-626-5184
Mailing Address - Street 1:3073 STEINWAY ST
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11103-3801
Mailing Address - Country:US
Mailing Address - Phone:718-278-8780
Mailing Address - Fax:
Practice Address - Street 1:1324 METROPOLITAN AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10462-7971
Practice Address - Country:US
Practice Address - Phone:718-863-3023
Practice Address - Fax:631-499-3062
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-28
Last Update Date:2017-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier