Provider Demographics
NPI:1962801878
Name:THE ASSOCIATION FOR THE BLIND AND VISUALLY IMPAIRED - GOODWILL INDUSTR
Entity type:Organization
Organization Name:THE ASSOCIATION FOR THE BLIND AND VISUALLY IMPAIRED - GOODWILL INDUSTR
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:
Authorized Official - First Name:ARLENE (GIDGET)
Authorized Official - Middle Name:R
Authorized Official - Last Name:HOPF
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:585-697-5777
Mailing Address - Street 1:422 CLINTON AVE S
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14620-1103
Mailing Address - Country:US
Mailing Address - Phone:585-232-1111
Mailing Address - Fax:585-232-2972
Practice Address - Street 1:500 S CLINTON AVE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14620-1198
Practice Address - Country:US
Practice Address - Phone:585-232-1111
Practice Address - Fax:585-232-2972
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-15
Last Update Date:2014-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier