Provider Demographics
NPI:1245481688
Name:VISION WORLD INC.
Entity type:Organization
Organization Name:VISION WORLD INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:KRETCH
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:440-888-3937
Mailing Address - Street 1:7835 W RIDGEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44129-5515
Mailing Address - Country:US
Mailing Address - Phone:440-888-3937
Mailing Address - Fax:440-884-7515
Practice Address - Street 1:7835 W RIDGEWOOD DR
Practice Address - Street 2:
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44129-5515
Practice Address - Country:US
Practice Address - Phone:440-888-3937
Practice Address - Fax:440-884-7515
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-03
Last Update Date:2010-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3617152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9385901Medicare PIN