Provider Demographics
NPI:1700159381
Name:HIS VISIONARY SOLUTIONS, LLC
Entity Type:Organization
Organization Name:HIS VISIONARY SOLUTIONS, LLC
Other - Org Name:EYEGLASS PARTIES VISIONCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:BENSONHAVER
Authorized Official - Suffix:
Authorized Official - Credentials:LDO
Authorized Official - Phone:614-735-8210
Mailing Address - Street 1:5335 HENDRON RD
Mailing Address - Street 2:
Mailing Address - City:GROVEPORT
Mailing Address - State:OH
Mailing Address - Zip Code:43125-1055
Mailing Address - Country:US
Mailing Address - Phone:614-916-9008
Mailing Address - Fax:
Practice Address - Street 1:5335 HENDRON RD
Practice Address - Street 2:
Practice Address - City:GROVEPORT
Practice Address - State:OH
Practice Address - Zip Code:43125-1055
Practice Address - Country:US
Practice Address - Phone:614-916-9008
Practice Address - Fax:614-916-3006
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HIS VISIONARY SOLUTIONS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-02-13
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Multi-Specialty
No152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
No156FC0800XEye and Vision Services ProvidersTechnician/TechnologistContact LensGroup - Multi-Specialty