Healthcare Provider Details
I. General information
NPI: 1770037186
Provider Name (Legal Business Name): SALH VISION ENTERPRISES INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/15/2016
Last Update Date: 09/16/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1400 S ORLANDO AVE SUITE 320
WINTER PARK FL
32789-5543
US
IV. Provider business mailing address
14830 HONEYCRISP LN
ORLANDO FL
32827-7452
US
V. Phone/Fax
- Phone: 407-895-4400
- Fax:
- Phone: 954-610-7863
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 152WL0500X |
| Taxonomy | Low Vision Rehabilitation Optometrist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DARSHNA
SALH
Title or Position: OWNER
Credential: O.D.
Phone: 954-610-7863