Provider Demographics
NPI:1962030171
Name:EN-VISION AMERICA
Entity type:Organization
Organization Name:EN-VISION AMERICA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INTERNATIONAL BUSINESS DEVELOPMENT
Authorized Official - Prefix:
Authorized Official - First Name:RICHIE
Authorized Official - Middle Name:
Authorized Official - Last Name:LEFEBVRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-702-6672
Mailing Address - Street 1:825 4TH ST W
Mailing Address - Street 2:
Mailing Address - City:PALMETTO
Mailing Address - State:FL
Mailing Address - Zip Code:34221-5013
Mailing Address - Country:US
Mailing Address - Phone:941-702-6672
Mailing Address - Fax:
Practice Address - Street 1:825 4TH ST W
Practice Address - Street 2:
Practice Address - City:PALMETTO
Practice Address - State:FL
Practice Address - Zip Code:34221-5013
Practice Address - Country:US
Practice Address - Phone:941-702-6672
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-01
Last Update Date:2020-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies