Provider Demographics
NPI:1265252902
Name:PLEASANT VIEW VISION CARE
Entity type:Organization
Organization Name:PLEASANT VIEW VISION CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIAL COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:THERESA
Authorized Official - Last Name:KOWAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-323-6231
Mailing Address - Street 1:PO BOX 60834
Mailing Address - Street 2:
Mailing Address - City:LONGMEADOW
Mailing Address - State:MA
Mailing Address - Zip Code:01116-0834
Mailing Address - Country:US
Mailing Address - Phone:413-323-6231
Mailing Address - Fax:413-754-6723
Practice Address - Street 1:809 WILLIAMS ST
Practice Address - Street 2:
Practice Address - City:LONGMEADOW
Practice Address - State:MA
Practice Address - Zip Code:01106-2060
Practice Address - Country:US
Practice Address - Phone:413-567-6450
Practice Address - Fax:413-754-6723
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-16
Last Update Date:2024-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty