Provider Demographics
NPI:1194134445
Name:SAVON VISION
Entity type:Organization
Organization Name:SAVON VISION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTICIAN/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:FARDIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SALEHIYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-386-1819
Mailing Address - Street 1:7989 BELT LINE RD STE 60
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75248-5728
Mailing Address - Country:US
Mailing Address - Phone:972-386-1819
Mailing Address - Fax:972-386-8383
Practice Address - Street 1:7989 BELT LINE RD STE 60
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75248-5728
Practice Address - Country:US
Practice Address - Phone:972-386-1819
Practice Address - Fax:972-386-8383
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-11
Last Update Date:2014-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier