Organization Name: | VISION SERVICE, INC. |
NPI Number: | 1336280411 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT A HOEFLER (PRESIDENT) |
Mailing Address: | 2527 Waukegan Rd # A Bannockburn |
State: | IL US |
Postal Code: | 600151569 |
Phone Number: | 8479408010 |
Fax Number: | 8479408030 |
NPI Enumeration Date: | 02/09/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FX1800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Optician |
Taxonomy Definition: |