Provider Demographics
NPI:1992302392
Name:CONSTANT VISION 2020
Entity type:Organization
Organization Name:CONSTANT VISION 2020
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:YVES
Authorized Official - Middle Name:
Authorized Official - Last Name:CONSTANT
Authorized Official - Suffix:
Authorized Official - Credentials:LICENSED OPTICIAN
Authorized Official - Phone:413-527-5613
Mailing Address - Street 1:15 COLLEGE HWY STE B
Mailing Address - Street 2:
Mailing Address - City:SOUTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01073-9274
Mailing Address - Country:US
Mailing Address - Phone:413-527-5613
Mailing Address - Fax:413-527-3526
Practice Address - Street 1:15 COLLEGE HWY STE B
Practice Address - Street 2:
Practice Address - City:SOUTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01073-9274
Practice Address - Country:US
Practice Address - Phone:413-527-5613
Practice Address - Fax:413-527-3526
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-08
Last Update Date:2020-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty