Provider Demographics
NPI:1841359908
Name:VONNAHME & ASSOCIATES LLC PC
Entity type:Organization
Organization Name:VONNAHME & ASSOCIATES LLC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HANS
Authorized Official - Middle Name:J
Authorized Official - Last Name:VONNAHME
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:413-552-3937
Mailing Address - Street 1:98 LOWER WESTFIELD RD
Mailing Address - Street 2:
Mailing Address - City:HOLYOKE
Mailing Address - State:MA
Mailing Address - Zip Code:01040-9403
Mailing Address - Country:US
Mailing Address - Phone:413-552-3937
Mailing Address - Fax:888-935-4545
Practice Address - Street 1:98 LOWER WESTFIELD RD
Practice Address - Street 2:
Practice Address - City:HOLYOKE
Practice Address - State:MA
Practice Address - Zip Code:01040-9403
Practice Address - Country:US
Practice Address - Phone:413-552-3937
Practice Address - Fax:888-935-4545
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-06
Last Update Date:2011-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
W20404OtherBCBS
MA6375600001Medicare NSC
MAW21089Medicare PIN