Provider Demographics
NPI:1396142766
Name:VISION TO LEARN
Entity type:Organization
Organization Name:VISION TO LEARN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLLISTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-893-2319
Mailing Address - Street 1:12100 WILSHIRE BLVD STE 1275
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-7143
Mailing Address - Country:US
Mailing Address - Phone:800-485-9196
Mailing Address - Fax:213-402-5261
Practice Address - Street 1:8084 RIVERS AVE STE 202
Practice Address - Street 2:
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29406-9235
Practice Address - Country:US
Practice Address - Phone:800-485-9196
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-01
Last Update Date:2024-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
No251V00000XAgenciesVoluntary or CharitableGroup - Single Specialty
No332H00000XSuppliersEyewear SupplierGroup - Single Specialty