Organization Name: | VISION SHOWCASE |
NPI Number: | 1417072950 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KENT WHALEN (PRESIDENT) |
Mailing Address: | 359 Russell St Hadley |
State: | MA US |
Postal Code: | 010353536 |
Phone Number: | 4135848324 |
Fax Number: | 4135849459 |
NPI Enumeration Date: | 03/21/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332900000X |
License Number: | 5818 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Non-Pharmacy Dispensing Site |
Taxonomy Specialization: | |
Taxonomy Definition: | A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |