Provider Demographics
NPI:1841833787
Name:THE VISION PLACE II LTD
Entity type:Organization
Organization Name:THE VISION PLACE II LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:RANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:GUNIA
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:773-814-9216
Mailing Address - Street 1:100 NEW MAIN ST
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-3808
Mailing Address - Country:US
Mailing Address - Phone:914-965-5367
Mailing Address - Fax:914-965-7601
Practice Address - Street 1:100 NEW MAIN ST
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-3808
Practice Address - Country:US
Practice Address - Phone:914-965-5367
Practice Address - Fax:914-965-7601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-23
Last Update Date:2019-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty