Provider Demographics
NPI:1427824515
Name:2020 VISION ASSOCIATES LLC
Entity type:Organization
Organization Name:2020 VISION ASSOCIATES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:T
Authorized Official - Last Name:HOLMAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:334-286-2020
Mailing Address - Street 1:2020 NORMANDIE DR
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36111-2734
Mailing Address - Country:US
Mailing Address - Phone:334-286-2020
Mailing Address - Fax:334-517-4341
Practice Address - Street 1:2020 NORMANDIE DR
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36111-2734
Practice Address - Country:US
Practice Address - Phone:334-286-2020
Practice Address - Fax:334-517-4341
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-29
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty