Provider Demographics
NPI:1336405422
Name:VISION ASSOCIATES INC
Entity Type:Organization
Organization Name:VISION ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:BREENE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-229-6386
Mailing Address - Street 1:148 SOCIAL ST
Mailing Address - Street 2:
Mailing Address - City:WOONSOCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02895-3133
Mailing Address - Country:US
Mailing Address - Phone:401-769-2755
Mailing Address - Fax:401-229-6386
Practice Address - Street 1:148 SOCIAL ST
Practice Address - Street 2:
Practice Address - City:WOONSOCKET
Practice Address - State:RI
Practice Address - Zip Code:02895-3133
Practice Address - Country:US
Practice Address - Phone:401-769-2755
Practice Address - Fax:401-229-6386
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-03
Last Update Date:2012-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIODTA00340152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty