Provider Demographics
NPI:1588971923
Name:VISIONS EYE CARE CT.
Entity type:Organization
Organization Name:VISIONS EYE CARE CT.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:J
Authorized Official - Last Name:BORRELLI
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:215-943-8055
Mailing Address - Street 1:4357NEW FALLS RD
Mailing Address - Street 2:
Mailing Address - City:LEVITTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19056
Mailing Address - Country:US
Mailing Address - Phone:215-943-8055
Mailing Address - Fax:215-943-4636
Practice Address - Street 1:4357 NEW FALLS ROAD
Practice Address - Street 2:
Practice Address - City:LEVITTOWN
Practice Address - State:PA
Practice Address - Zip Code:19056
Practice Address - Country:US
Practice Address - Phone:215-943-8055
Practice Address - Fax:215-943-4636
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-07
Last Update Date:2010-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0166560001Medicare NSC