Provider Demographics
NPI:1780810531
Name:VISION DME, LLC
Entity type:Organization
Organization Name:VISION DME, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN/DON/ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:VISENTA
Authorized Official - Middle Name:C
Authorized Official - Last Name:HADDAD
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:956-423-5424
Mailing Address - Street 1:28212 BASS BLVD
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78552-6732
Mailing Address - Country:US
Mailing Address - Phone:956-423-5424
Mailing Address - Fax:956-423-0450
Practice Address - Street 1:700 E GRIFFIN PKWY
Practice Address - Street 2:SUITE # 113
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-2939
Practice Address - Country:US
Practice Address - Phone:956-423-5424
Practice Address - Fax:956-423-0450
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-08
Last Update Date:2009-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies