Provider Demographics
NPI:1265089403
Name:FLORAS VISION INC
Entity type:Organization
Organization Name:FLORAS VISION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROGER
Authorized Official - Middle Name:D
Authorized Official - Last Name:GONZALES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-428-0300
Mailing Address - Street 1:GALLERIA AT WHITE PLAINS
Mailing Address - Street 2:100 MAIN STREET, SUITE 395
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10601
Mailing Address - Country:US
Mailing Address - Phone:914-428-0300
Mailing Address - Fax:914-948-4392
Practice Address - Street 1:GALLERIA AT WHITE PLAINS
Practice Address - Street 2:100 MAIN STREET, SUITE 395
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10601
Practice Address - Country:US
Practice Address - Phone:914-428-0300
Practice Address - Fax:914-948-4392
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-22
Last Update Date:2019-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier