Provider Demographics
NPI:1770809683
Name:M.H. VISION SERVICES, INC.
Entity type:Organization
Organization Name:M.H. VISION SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:HEGETSCHWEILER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:352-242-1615
Mailing Address - Street 1:550 US HIGHWAY 27
Mailing Address - Street 2:
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34714-8908
Mailing Address - Country:US
Mailing Address - Phone:352-242-1615
Mailing Address - Fax:352-536-2719
Practice Address - Street 1:550 US HIGHWAY 27
Practice Address - Street 2:
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34714-8908
Practice Address - Country:US
Practice Address - Phone:352-242-1615
Practice Address - Fax:352-536-2719
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-16
Last Update Date:2010-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC2182152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAT97642Medicare UPIN
GA41ZCDJPMedicare PIN