Provider Demographics
NPI:1689478448
Name:FOUR VISION HEALTHCARE & MEDICAL SUPPLIES LLC
Entity type:Organization
Organization Name:FOUR VISION HEALTHCARE & MEDICAL SUPPLIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MUHAMMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:SABIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-331-0642
Mailing Address - Street 1:37732 PHELAN LN
Mailing Address - Street 2:
Mailing Address - City:PALMDALE
Mailing Address - State:CA
Mailing Address - Zip Code:93552-4176
Mailing Address - Country:US
Mailing Address - Phone:818-331-0642
Mailing Address - Fax:800-519-0009
Practice Address - Street 1:37732 PHELAN LN
Practice Address - Street 2:
Practice Address - City:PALMDALE
Practice Address - State:CA
Practice Address - Zip Code:93552-4176
Practice Address - Country:US
Practice Address - Phone:818-331-0642
Practice Address - Fax:800-519-0009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-02
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies