Organization Name: | NATIONWIDE VISION CENTER, INC. |
NPI Number: | 1114098597 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | VINCENT HAYES (VP MANAGED CARE) |
Mailing Address: | 10735 E Apache Trl Ste 107 Apache Junction |
State: | AZ US |
Postal Code: | 851203316 |
Phone Number: | 4803547976 |
Fax Number: | 4803548001 |
NPI Enumeration Date: | 11/10/2006 |
NPI Last Update Date: | 11/05/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FX1800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Optician |
Taxonomy Definition: |