Organization Name: | VISTAR EYE CENTER, INC |
NPI Number: | 1275777658 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PAUL LEVY (CEO) |
Mailing Address: | 426 W Main St Salem |
State: | VA US |
Postal Code: | 241533610 |
Phone Number: | 5403444000 |
Fax Number: | 5403424373 |
NPI Enumeration Date: | 04/29/2009 |
NPI Last Update Date: | 04/20/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | 09L0899 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
Taxonomy Specialization: | |
Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |