Provider Demographics
NPI:1265554968
Name:PRO-VISION WORKS INC
Entity type:Organization
Organization Name:PRO-VISION WORKS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:SUTTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:307-638-2298
Mailing Address - Street 1:1619 LOGAN AVE
Mailing Address - Street 2:
Mailing Address - City:CHEYENNE
Mailing Address - State:WY
Mailing Address - Zip Code:82001-5139
Mailing Address - Country:US
Mailing Address - Phone:307-638-2298
Mailing Address - Fax:
Practice Address - Street 1:1619 LOGAN AVE
Practice Address - Street 2:
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82001-5139
Practice Address - Country:US
Practice Address - Phone:307-638-2298
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier