Provider Demographics
NPI:1811429954
Name:VITS VISION CARE LLC
Entity type:Organization
Organization Name:VITS VISION CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DARRIN
Authorized Official - Middle Name:G
Authorized Official - Last Name:VITS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:815-625-6195
Mailing Address - Street 1:723 W ROUTE 30
Mailing Address - Street 2:
Mailing Address - City:ROCK FALLS
Mailing Address - State:IL
Mailing Address - Zip Code:61071-2828
Mailing Address - Country:US
Mailing Address - Phone:815-625-6195
Mailing Address - Fax:815-625-5301
Practice Address - Street 1:723 W ROUTE 30
Practice Address - Street 2:
Practice Address - City:ROCK FALLS
Practice Address - State:IL
Practice Address - Zip Code:61071-2828
Practice Address - Country:US
Practice Address - Phone:815-625-6195
Practice Address - Fax:815-625-5301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-29
Last Update Date:2017-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty