Provider Demographics
NPI:1750340600
Name:20-20 EYECARE AND VISION CENTER, INC
Entity type:Organization
Organization Name:20-20 EYECARE AND VISION CENTER, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:HENRY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:724-282-3265
Mailing Address - Street 1:106 MILHEIM DR
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16001-1515
Mailing Address - Country:US
Mailing Address - Phone:724-282-3265
Mailing Address - Fax:724-282-2415
Practice Address - Street 1:106 MILHEIM DR
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-1515
Practice Address - Country:US
Practice Address - Phone:724-282-3265
Practice Address - Fax:724-282-2415
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOE004850P152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAPA94850OtherVISION BENEFITS AMERICA
PA50438OtherDAVIS VISION
PAPA94850OtherVISION BENEFITS AMERICA