Healthcare Provider Details

I. General information

NPI: 1538551205
Provider Name (Legal Business Name): VISION PRECISION HOLDINGS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2015
Last Update Date: 03/04/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3801 S CONGRESS AVE
PALM SPRINGS FL
33461-4140
US

IV. Provider business mailing address

3801 S CONGRESS AVE
PALM SPRINGS FL
33461-4140
US

V. Phone/Fax

Practice location:
  • Phone: 561-275-2020
  • Fax: 561-275-2030
Mailing address:
  • Phone: 561-275-2020
  • Fax: 561-275-2030

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number StateFL

VIII. Authorized Official

Name: MR. DANIEL STANTON
Title or Position: CEO
Credential:
Phone: 561-275-2020