| Organization Name: | NEW VISION OPTICAL |
| NPI Number: | 1194719112 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ALBERTO ANTMAN (PRESIDENT) |
| Mailing Address: | 120 Skokie Blvd Wilmette |
| State: | IL US |
| Postal Code: | 600913050 |
| Phone Number: | 8472513330 |
| Fax Number: | 8472519580 |
| NPI Enumeration Date: | 09/06/2005 |
| NPI Last Update Date: | 09/27/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BC3200X |
| License Number: | 1935 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Customized Equipment |
| Taxonomy Definition: | |