Provider Demographics
NPI:1316422595
Name:CASE VISION, P.A.
Entity type:Organization
Organization Name:CASE VISION, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:CASE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:386-316-4160
Mailing Address - Street 1:2564 ENTERPRISE RD
Mailing Address - Street 2:
Mailing Address - City:ORANGE CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32763-7904
Mailing Address - Country:US
Mailing Address - Phone:386-774-7242
Mailing Address - Fax:386-774-8442
Practice Address - Street 1:2564 ENTERPRISE RD
Practice Address - Street 2:
Practice Address - City:ORANGE CITY
Practice Address - State:FL
Practice Address - Zip Code:32763-7904
Practice Address - Country:US
Practice Address - Phone:386-774-7242
Practice Address - Fax:386-774-8442
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-03
Last Update Date:2020-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty