Total Vision Of Port Orange, Inc.

LBN: Total Vision Of Port Orange, Inc.
Total Vision Of Port Orange, Inc. is an health care organization with primary practice located at 5820 S Williamson Blvd Ste 106 , Port Orange FL 32128-6400. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Total Vision Of Port Orange, Inc. can be contacted via phone (386) 767-4449, or through Stephens, Phillip L via phone (386) 767-4449.

Contact Information

Primary practice address
5820 S Williamson Blvd Ste 106 Port Orange FL 32128-6400
Phone: (386) 767-4449
Fax: (386) 767-1980
Website:
Map and Directions
Authorized official contact:
Name: Stephens, Phillip L Doctor of Optometry (OD)
Phone: (386) 767-4449

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X

Profile Details

NPI number 1598984676
LBN Legal business name Total Vision Of Port Orange, Inc.
DBA Doing business as
Authorized official Stephens, Phillip L Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 25th, 2007
Last updated Oct 22nd, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598984676 NPPES
Florida MEDICAID 620815100

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