<Unavail>

LBN: Vision Mart, Inc
<Unavail> is an health care organization with primary practice located at 2476 S Oneida St Suite 105, Green Bay WI 54304-5289. The organization recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as the primary health care specialty. Vision Mart, Inc can be contacted via phone (920) 965-0260, or through Dickman, Vicki via phone (414) 462-1300.

Contact Information

Primary practice address
2476 S Oneida St Suite 105 Green Bay WI 54304-5289
Phone: (920) 965-0260
Fax: (920) 965-0262
Website:
Map and Directions
Authorized official contact:
Name: Dickman, Vicki
Phone: (414) 462-1300

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X

Profile Details

NPI number 1346525573
LBN Legal business name Vision Mart, Inc
DBA Doing business as <Unavail>
Authorized official Dickman, Vicki
Entity Organization
Organization subpart 1 No
Enumeration date Oct 19th, 2011
Last updated Oct 19th, 2011 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1346525573 NPPES
Wisconsin MEDICAID 3845000

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