Provider Demographics
NPI:1770625295
Name:DESIGN FOR VISION INC.
Entity type:Organization
Organization Name:DESIGN FOR VISION INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTICIAN
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:IBARRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-945-8820
Mailing Address - Street 1:RTE 202 LOGAN SQUARE
Mailing Address - Street 2:3 VILLAGE ROW
Mailing Address - City:NEW HOPE
Mailing Address - State:PA
Mailing Address - Zip Code:18938
Mailing Address - Country:US
Mailing Address - Phone:215-862-3435
Mailing Address - Fax:215-862-0956
Practice Address - Street 1:RTE 202 LOGAN SQUARE
Practice Address - Street 2:3 VILLAGE ROW
Practice Address - City:NEW HOPE
Practice Address - State:PA
Practice Address - Zip Code:18938
Practice Address - Country:US
Practice Address - Phone:215-862-3435
Practice Address - Fax:215-862-0956
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-12
Last Update Date:2013-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty