Provider Demographics
NPI:1669908935
Name:VISION CARE LLC
Entity type:Organization
Organization Name:VISION CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:TORRENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:WATKINS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:602-358-0223
Mailing Address - Street 1:2444 W LAS PALMARITAS DR
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85021-4860
Mailing Address - Country:US
Mailing Address - Phone:602-358-0223
Mailing Address - Fax:
Practice Address - Street 1:2444 W LAS PALMARITAS DR
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85021-4860
Practice Address - Country:US
Practice Address - Phone:602-358-0223
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VISION CARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-05-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1205152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty