Radiant Vision Eyecare

LBN: Radiant Vision Eyecare
Radiant Vision Eyecare is an health care organization with primary practice located at 5517 S Williamson Blvd Ste 310 , Port Orange FL 32128-8310. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Radiant Vision Eyecare can be contacted via phone (386) 200-4501, or through Nicotra, Marissa via phone (386) 200-4501.

Contact Information

Primary practice address
5517 S Williamson Blvd Ste 310 Port Orange FL 32128-8310
Phone: (386) 200-4501
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Nicotra, Marissa Doctor of Optometry (OD)
Phone: (386) 200-4501

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X

Profile Details

NPI number 1568170827
LBN Legal business name Radiant Vision Eyecare
DBA Doing business as
Authorized official Nicotra, Marissa Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 7th, 2022
Last updated Nov 7th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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