Provider Demographics
NPI:1669718607
Name:VISION MARKETPLACE INC.
Entity type:Organization
Organization Name:VISION MARKETPLACE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:PALMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-364-1610
Mailing Address - Street 1:2129 SW HIGHWAY 484
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34473-7949
Mailing Address - Country:US
Mailing Address - Phone:352-347-2710
Mailing Address - Fax:352-347-9130
Practice Address - Street 1:2129 SW HIGHWAY 484
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34473-7949
Practice Address - Country:US
Practice Address - Phone:352-347-2710
Practice Address - Fax:352-347-9130
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-19
Last Update Date:2012-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOE1326332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier