Basic Information
| Provider Information | |||||||||
| NPI: | 1215102553 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | VISION WORLD OF THE BRONX INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3073 STEINWAY ST | ||||||||
| Address2: | |||||||||
| City: | ASTORIA | ||||||||
| State: | NY | ||||||||
| PostalCode: | 111033801 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7182788780 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1324 METROPOLITAN AVE | ||||||||
| Address2: | |||||||||
| City: | BRONX | ||||||||
| State: | NY | ||||||||
| PostalCode: | 104627971 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7188633023 | ||||||||
| FaxNumber: | 6314993062 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/28/2008 | ||||||||
| LastUpdateDate: | 02/13/2017 | ||||||||
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| AuthorizedOfficialLastName: | SMITH | ||||||||
| AuthorizedOfficialFirstName: | SHERI | ||||||||
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| AuthorizedOfficialTitleorPosition: | MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 7186265184 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 332H00000X | Y | Suppliers | Eyewear Supplier (Equipment, not the service) |
No ID Information.