Provider Demographics
NPI:1831769645
Name:PRESTIGE WORLDWIDE VISION, LLC
Entity type:Organization
Organization Name:PRESTIGE WORLDWIDE VISION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:E
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:419-202-8106
Mailing Address - Street 1:805 PATRIOT DR STE E
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:44090-8951
Mailing Address - Country:US
Mailing Address - Phone:440-647-5700
Mailing Address - Fax:440-647-5703
Practice Address - Street 1:805 PATRIOT DR STE E
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:OH
Practice Address - Zip Code:44090-8951
Practice Address - Country:US
Practice Address - Phone:440-647-5700
Practice Address - Fax:440-647-5703
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-25
Last Update Date:2021-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty