VISION MART, INC (NPI# 1013461771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013461771 |
Entity Type | Organization |
Organization Name | VISION MART, INC |
Other Organization Name | VISION MART |
Practice Address |
130 E Capitol Dr Glendale WI 53212-1206 |
Mailing Address |
12000 W Carmen Ave Milwaukee WI 53225-2116 |
Practice Telephone | 4149626744 |
Practice Fax Number | 4149626746 |
Mailing Telephone | 4144621300 |
Mailing Fax Number | 4144624780 |
Enumeration Date | 2016-08-11 |
Last Update Date | 2016-08-11 |
Authorized Official Name | VICTORIA DICKMAN (PRESIDENT) |
Authorized Official Telephone | 4144621300 |
Is Organization Subpart | Y |
Parent Organization Name | VISION MART, INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 3845000 | 05 |
Other Name | Type Code |
---|---|
VISION MART | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881723641 | Vision Mart, Inc | Technician/Technologist | 2923 N 15th St, Sheboygan, WI 53083-3946 | 2007-03-05 |
1114056983 | Vision Mart, Inc | Technician/Technologist | 930 Gateway Ct, West Bend, WI 53095-8538 | 2007-03-05 |
1184753352 | Vision Mart, Inc | Technician/Technologist | 2110 E Oklahoma Ave, Milwaukee, WI 53207-2922 | 2007-03-05 |
1982240289 | Vision Mart, Inc | Technician/Technologist | 712 N Casaloma Dr, Appleton, WI 54913-8550 | 2019-11-21 |
1346525573 | Vision Mart, Inc | Technician/Technologist | 2476 S Oneida St, Suite 105, Green Bay, WI 54304-5289 | 2011-10-19 |
1588793434 | Vision Mart, Inc | Technician/Technologist | 12735 W Capitol Dr, Brookfield, WI 53005-2442 | 2007-03-05 |
1992834758 | Vision Mart, Inc | Technician/Technologist | 2625 S 108th St, West Allis, WI 53227-1925 | 2007-03-05 |
1497884241 | Vision Mart, Inc | Technician/Technologist | 6760 W National Ave, West Allis, WI 53214-4965 | 2007-03-05 |
1659400414 | Vision Mart, Inc | Technician/Technologist | 8770 S Howell Ave, Oak Creek, WI 53154-7524 | 2007-03-05 |
1609905454 | Vision Mart, Inc | Technician/Technologist | 1818 W National Ave, Milwaukee, WI 53204-1118 | 2007-03-05 |
Street Address |
130 E CAPITOL DR |
City | GLENDALE |
State | WI |
Zip Code | 53212-1206 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609481001 | Beth Leanna | Counselor | Benedict Center 1849 N Dr. Marin Luther King Dr., Suite 101, Milwaukee, WI 53212 | 2020-09-11 |
1326683749 | A.b.d.h. Counseling Services LLC | Clinic/Center | 518 E Concordia Avenue, Milwaukee, WI 53212 | 2019-11-08 |
1467095703 | Ifrah Hameed | Psychologist | 1849 N Doctor M.l.k. Jr Dr# 101, Milwaukee, WI 53212 | 2019-10-18 |
1386293330 | Rachel Mae Nelson Bagha | Student in an Organized Health Care Education/Training Program | 1849 N Doctor M.l.k. Jr Dr #101, Milwaukee, WI 53212 | 2019-09-11 |
1164085205 | Mary Sue Daase Bowen | Counselor | 2821 N 4th Street, Milwaukee, WI 53212 | 2019-04-15 |
1649733189 | Stacey King | Counselor | Rivershore Comprehensive Treatment Facility, 3703 N Richards St, Milwaukee Wi, Milwaukee, WI 53212 | 2019-04-11 |
1710447701 | Scott William Stauder | Student in an Organized Health Care Education/Training Program | 1121 E. North Ave., Milwaukee, WI 53212 | 2019-03-25 |
1821561168 | Lydia Ann Mendez | Counselor | 3703 N Richards St, Milwaukee, WI 53212 | 2019-01-09 |
1851863302 | Glen Victor Fleming | Counselor | 2821 North 4th Street Suite 210, Milwaukee, WI 53212 | 2018-12-21 |
1093285140 | Megan Marie Volp | Advanced Practice Midwife | 2555 N Doctor M.l.k. Jr Dr, Milwaukee, WI 53212 | 2018-12-03 |
Find all providers in zip 53212 |
Taxonomy Code | 156FX1800X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Optician |
Definition to come... |
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1932677713 | National Vision Inc | Technician/Technologist | 9340 W Northern Ave Ste 120, Glendale, AZ 85305-1148 | 2018-11-09 |
1932606738 | National Vision, Inc. | Technician/Technologist | 8016 Cooper Ave Ste 3111, Glendale, NY 11385-7730 | 2018-04-09 |
1891214565 | National Vision, Inc. | Technician/Technologist | 320 N Glendale Ave, Glendale, CA 91206-3758 | 2017-09-14 |
1114453388 | Designer Optical Center | Technician/Technologist | 8028 Cooper Ave. Suite #6-106, Glendale, NY 11378 | 2017-05-10 |
1770837577 | Nationwide Vision Center, LLC | Technician/Technologist | 5707 W Northern Ave, Suite 106, Glendale, AZ 85301-1300 | 2012-10-31 |
1841587342 | Maria Mclaren | Technician/Technologist | 20249 N 67th Ave, B, Glendale, AZ 85308-6843 | 2011-07-05 |
1417280496 | Bell Optical | Technician/Technologist | 4236 W Bell Rd, Suite #5, Glendale, AZ 85308-4029 | 2009-09-09 |
1770737868 | Frank J Leone | Technician/Technologist | 18330 N 79th Ave, 1062, Glendale, AZ 85308-8343 | 2008-11-16 |
Find all providers in GLENDALE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.