Organization Name: | VISION CENTRE OF VICTOR VALLEY INC |
NPI Number: | 1629359757 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DARYL EVAN KATZ (OPTOMETRIST/OWNER) |
Mailing Address: | 14400 Bear Valley Road Suite 204 Victorville |
State: | CA US |
Postal Code: | 923925406 |
Phone Number: | 7609512516 |
Fax Number: | 7609552227 |
NPI Enumeration Date: | 09/02/2011 |
NPI Last Update Date: | 08/07/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | CA9940T |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
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. |