Provider Demographics
NPI:1831225705
Name:T VISION INC
Entity type:Organization
Organization Name:T VISION INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:T
Authorized Official - Middle Name:FOSTER
Authorized Official - Last Name:BRYANT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:239-513-9004
Mailing Address - Street 1:6645 WILLOW PARK DR
Mailing Address - Street 2:SUITE 150
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34109-8989
Mailing Address - Country:US
Mailing Address - Phone:239-513-9004
Mailing Address - Fax:239-597-0333
Practice Address - Street 1:6645 WILLOW PARK DR
Practice Address - Street 2:SUITE 150
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34109-8989
Practice Address - Country:US
Practice Address - Phone:239-513-9004
Practice Address - Fax:239-597-0333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-26
Last Update Date:2008-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8490111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL88306OtherBCSB
5808295OtherGHI
5808295OtherGHI