Provider Demographics
NPI:1336743632
Name:JA VISION ENTERPRISES
Entity type:Organization
Organization Name:JA VISION ENTERPRISES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER/ OPTOMETRIST ASSIST
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MOBLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-258-2442
Mailing Address - Street 1:21 CORPORATE DR STE 2
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18045-2664
Mailing Address - Country:US
Mailing Address - Phone:610-258-2442
Mailing Address - Fax:610-258-7961
Practice Address - Street 1:21 CORPORATE DR STE 2
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18045-2664
Practice Address - Country:US
Practice Address - Phone:610-258-2442
Practice Address - Fax:610-258-7961
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-27
Last Update Date:2020-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty