Provider Demographics
NPI:1366892531
Name:VISION COAT INC
Entity type:Organization
Organization Name:VISION COAT INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:
Authorized Official - Last Name:ECKSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:ABO OPTICIAN
Authorized Official - Phone:303-752-1234
Mailing Address - Street 1:7800 E ILIFF AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80231-7009
Mailing Address - Country:US
Mailing Address - Phone:303-752-1234
Mailing Address - Fax:303-751-1675
Practice Address - Street 1:7800 E ILIFF AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80231-7009
Practice Address - Country:US
Practice Address - Phone:303-752-1234
Practice Address - Fax:303-751-1675
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-17
Last Update Date:2016-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty