Healthcare Provider Details

I. General information

NPI: 1659713741
Provider Name (Legal Business Name): LOW VISION SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2013
Last Update Date: 07/18/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

107 GREAT BARRINGTON RD
WEST STOCKBRIDGE MA
01266-9216
US

IV. Provider business mailing address

107 GREAT BARRINGTON RD
WEST STOCKBRIDGE MA
01266-9216
US

V. Phone/Fax

Practice location:
  • Phone: 413-717-5864
  • Fax:
Mailing address:
  • Phone: 413-717-5864
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number5647
License Number StateMA

VIII. Authorized Official

Name: MS. KATHLEEN M MEADE
Title or Position: SOLE OWNER
Credential: OTR/L
Phone: 413-717-5864