Provider Demographics
NPI:1639308414
Name:NVISION UNLIMITED EYEWEAR, LLC
Entity type:Organization
Organization Name:NVISION UNLIMITED EYEWEAR, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER/OPTICAN
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-360-5505
Mailing Address - Street 1:2300 36TH AVE NW
Mailing Address - Street 2:STE. 100
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73072-2922
Mailing Address - Country:US
Mailing Address - Phone:405-360-5505
Mailing Address - Fax:405-360-0771
Practice Address - Street 1:2300 36TH AVE NW
Practice Address - Street 2:STE. 100
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73072-2922
Practice Address - Country:US
Practice Address - Phone:405-360-5505
Practice Address - Fax:405-360-0771
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-14
Last Update Date:2009-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier