Provider Demographics
NPI:1396908448
Name:LUXOR VISION INC.
Entity type:Organization
Organization Name:LUXOR VISION INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KHALED
Authorized Official - Middle Name:
Authorized Official - Last Name:KHAMEES
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:614-882-7786
Mailing Address - Street 1:50 N STATE ST
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-2124
Mailing Address - Country:US
Mailing Address - Phone:614-882-7786
Mailing Address - Fax:614-882-1012
Practice Address - Street 1:50 N STATE ST
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-2124
Practice Address - Country:US
Practice Address - Phone:614-882-7786
Practice Address - Fax:614-882-1012
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-09
Last Update Date:2008-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5095152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty